Vaping in today’s pandemic: E-cigarette, or vaping, product use–associated lung injury mimicking COVID-19 in teenagers presenting with respiratory distress
The clinical presentation of children and adolescents infected with severe acute respiratory syndrome coronavirus 2 can range from asymptomatic to mild or moderate manifestations. We present a case series of three adolescents who presented during the coronavirus disease 2019 (COVID-19) pandemic with...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-10-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X20969590 |
| _version_ | 1818260516564369408 |
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| author | Daphne O Darmawan Kriti Gwal Brian D Goudy Sanjay Jhawar Kiran Nandalike |
| author_facet | Daphne O Darmawan Kriti Gwal Brian D Goudy Sanjay Jhawar Kiran Nandalike |
| author_sort | Daphne O Darmawan |
| collection | DOAJ |
| description | The clinical presentation of children and adolescents infected with severe acute respiratory syndrome coronavirus 2 can range from asymptomatic to mild or moderate manifestations. We present a case series of three adolescents who presented during the coronavirus disease 2019 (COVID-19) pandemic with symptoms concerning for COVID-19, including fever, abdominal symptoms, cough, respiratory distress, and hypoxemia. Their laboratory results showed elevated inflammatory markers that are also commonly seen in COVID-19. The chest imaging studies mimicked COVID-19 with non-specific ground glass opacities and interstitial prominence patterns. However, severe acute respiratory syndrome coronavirus 2 testing was negative and further questioning of these adolescents and their parents revealed a history of vaping marijuana-related products leading to the eventual diagnosis of e-cigarette, or vaping, product use–associated lung injury. Our patients were successfully treated with corticosteroids. The providers caring for pediatric patients, especially adolescents, should continue to have a high index of suspicion for e-cigarette, or vaping, product use–associated lung injury in patients presenting with unexplained respiratory failure, while ruling out COVID-19. |
| first_indexed | 2024-12-12T18:32:35Z |
| format | Article |
| id | doaj.art-0b821115550143bd88f1de055c1f5766 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-12T18:32:35Z |
| publishDate | 2020-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-0b821115550143bd88f1de055c1f57662022-12-22T00:15:52ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2020-10-01810.1177/2050313X20969590Vaping in today’s pandemic: E-cigarette, or vaping, product use–associated lung injury mimicking COVID-19 in teenagers presenting with respiratory distressDaphne O Darmawan0Kriti Gwal1Brian D Goudy2Sanjay Jhawar3Kiran Nandalike4Department of Pediatrics, University of California Davis Health, Sacramento, CA, USADivision of Pediatric Radiology, Department of Radiology, University of California Davis Health, Sacramento, CA, USADivision of Critical Care Medicine, Department of Pediatrics, University of California Davis Health, Sacramento, CA, USADivision of Pulmonary Medicine, Department of Pediatrics, University of California Davis Health, Sacramento, CA, USADivision of Pulmonary Medicine, Department of Pediatrics, University of California Davis Health, Sacramento, CA, USAThe clinical presentation of children and adolescents infected with severe acute respiratory syndrome coronavirus 2 can range from asymptomatic to mild or moderate manifestations. We present a case series of three adolescents who presented during the coronavirus disease 2019 (COVID-19) pandemic with symptoms concerning for COVID-19, including fever, abdominal symptoms, cough, respiratory distress, and hypoxemia. Their laboratory results showed elevated inflammatory markers that are also commonly seen in COVID-19. The chest imaging studies mimicked COVID-19 with non-specific ground glass opacities and interstitial prominence patterns. However, severe acute respiratory syndrome coronavirus 2 testing was negative and further questioning of these adolescents and their parents revealed a history of vaping marijuana-related products leading to the eventual diagnosis of e-cigarette, or vaping, product use–associated lung injury. Our patients were successfully treated with corticosteroids. The providers caring for pediatric patients, especially adolescents, should continue to have a high index of suspicion for e-cigarette, or vaping, product use–associated lung injury in patients presenting with unexplained respiratory failure, while ruling out COVID-19.https://doi.org/10.1177/2050313X20969590 |
| spellingShingle | Daphne O Darmawan Kriti Gwal Brian D Goudy Sanjay Jhawar Kiran Nandalike Vaping in today’s pandemic: E-cigarette, or vaping, product use–associated lung injury mimicking COVID-19 in teenagers presenting with respiratory distress SAGE Open Medical Case Reports |
| title | Vaping in today’s pandemic: E-cigarette, or vaping, product use–associated lung injury mimicking COVID-19 in teenagers presenting with respiratory distress |
| title_full | Vaping in today’s pandemic: E-cigarette, or vaping, product use–associated lung injury mimicking COVID-19 in teenagers presenting with respiratory distress |
| title_fullStr | Vaping in today’s pandemic: E-cigarette, or vaping, product use–associated lung injury mimicking COVID-19 in teenagers presenting with respiratory distress |
| title_full_unstemmed | Vaping in today’s pandemic: E-cigarette, or vaping, product use–associated lung injury mimicking COVID-19 in teenagers presenting with respiratory distress |
| title_short | Vaping in today’s pandemic: E-cigarette, or vaping, product use–associated lung injury mimicking COVID-19 in teenagers presenting with respiratory distress |
| title_sort | vaping in today s pandemic e cigarette or vaping product use associated lung injury mimicking covid 19 in teenagers presenting with respiratory distress |
| url | https://doi.org/10.1177/2050313X20969590 |
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