Sixty-eight deaths have been confirmed in 29 states and the District of Columbia. Facebook. These cookies may also be used for advertising purposes by these third parties. Contributors: All authors contributed to the development and revision of the manuscript. It may occur as pneumonia, damage to tiny air sacs in the lungs (alveoli), or an inflammatory reaction called fibrinous pneumonitis. COVID-19 and EVALI: Considerations regarding two concurrent public health crises. The patient was discharged in stable condition and counselled regarding the importance of eliminating tobacco and E-cigarettes use. [59][60] In the few cases in which lung biopsies were performed, the results were consistent with acute lung injury and included a broad range of features, such as acute fibrinous pneumonitis, diffuse alveolar damage, lipid-laden macrophages, and organizing pneumonia. Using an e-cigarette is commonly called vaping. EVALI has by no means disappeared, Dr. Kligerman said. [4] In some patients, gastrointestinal symptoms can precede respiratory symptoms. [79] 12cases of health problems with nicotine-containing e-cigarettes were reported to the UK's Medicines and Healthcare products Regulatory Agency (MHRA), with at least one case bearing high similarities to the lipid pneumonia cases reported in the US. Gastrointestinal problems. Infectious disease and pulmonary were consulted and she was initially started on oral prednisone 40mg/day. and transmitted securely. Contributor. Labs were significant for an elevated C reactive protein (CRP), D-dimer, ferritin, lactate dehydrogenase. Centers for Disease Control and Prevention, outbreak of severe lung disease linked to vaping, recent vaping related lung disease outbreak in the United States, Respiratory bronchiolitis interstitial lung disease, Hospitalized cases in the vaping lung illness outbreak, outbreak of vaping-related lung injuries in 2019 and 2020, "Update: Interim Guidance for Health Care Providers Evaluating and Caring for Patients with Suspected E-cigarette, or Vaping, Product Use Associated Lung Injury - United States, October 2019", Outbreak of lung injury associated with e-cigarette use, or 'vaping', CDPH Health Alert: Vaping-Associated Pulmonary Injury, "Imaging of Vaping-Associated Lung Disease", "Real-Time Digital Surveillance of Vaping-Induced Pulmonary Disease", "What are the respiratory effects of e-cigarettes?