The connection between vaping and lung disease was spotted in a 31-year-old patient in 2015. In this Q&A, Dr. John E. Parker describes what happened.
The doctors were intrigued enough to— a type of study on unusual or provocative patient findings — in the medical journal Chest. Case reports can serve as a call to the medical community to be on the lookout, though they sometimes raise more questions than they provide answers.that has struck more than 150 patients in 16 states. Parker, a professor of pulmonary critical care and sleep medicine at West Virginia University, described what happened.
. She was very, very short of breath and had a cough, and we were, of course, very worried that she might have pneumonia or some other acute respiratory illness. And then she was so sick she needed to be intubated.We look for things like a [hemorrhage] or an active infection. And then for lipid-containing macrophages. And then we usually start some antibiotics [and a] low-dose steroid and then support the patient with a ventilator and oxygen and nutrition.
Early on, we just felt like it was an unusual case and may not be a common viral or bacterial infection.It’s a diagnosis of exclusion. We excluded other [options], and it became the most likely cause.Advertisement Once you realized vaping could be to blame, did you contact the Centers for Disease Control and Prevention or the Food and Drug Administration or any other regulatory agency to tell them about this?We felt at the time that putting it in the medical literature was appropriate.
… that it was an example of a respiratory illness that can be caused by this exposure and that it probably wasn’t the first case ever seen nor would it be the last.To our knowledge it was our first case, but we are humble enough clinicians to realize we may have missed some other cases that we interpreted [as] viral pneumonia or bacterial pneumonia.
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