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Respiratory failure caused by lipoid pneumonia from vaping e-cigarettes.

Viswam, Darsana and Trotter, Simon and Burge, P Sherwood and Walters, Gareth I (2018) Respiratory failure caused by lipoid pneumonia from vaping e-cigarettes. BMJ case reports, 2018. ISSN 1757-790X. This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs

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Official URL: http://casereports.bmj.com/content/2018/bcr-2018-2...

Abstract

A young female vaper presented with insidious onset cough, progressive dyspnoea on exertion, fever, night sweats and was in respiratory failure when admitted to hospital. Clinical examination was unremarkable. Haematological tests revealed only thrombocytopenia, which was long standing, and her biochemical and inflammatory markers were normal. Chest radiograph and high-resolution CT showed diffuse ground-glass infiltrates with reticulation. She was initially treated with empirical steroids and there was improvement in her oxygenation, which facilitated further tests. Since the bronchoscopy and high-volume lavage was unyielding, a video-assisted thoracoscopicsurgical biopsy was done later and was suggestive of lipoid pneumonia. The only source of lipid was the vegetable glycerine found in e-cigarette (EC). Despite our advice to quit vaping, she continued to use EC with different flavours and there is not much improvement in her clinical and spirometric parameters.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs
Subjects: WF Respiratory system. Respiratory medicine
Divisions: Planned IP Care > Respiratory Medicine
Related URLs:
Depositing User: Mrs Semanti Chakraborty
Date Deposited: 16 Jul 2018 15:53
Last Modified: 16 Jul 2018 15:53
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1697

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