Agustin Michael, Yamamoto Michele, Cabrera Felix, Eusebio Ricardo
Guam Regional Medical City, 133 Route 3, Dededo, Guam 96929, USA.
Case Rep Pulmonol. 2018 Jun 7;2018:9724530. doi: 10.1155/2018/9724530. eCollection 2018.
There has been a significant increase in electronic cigarette (e-cigarette) use since its introduction in 2007. Ironically, there remains very few published literature on the respiratory complications of e-cigarettes. The use of personalized vaporizers or commonly known as "vaping" has started to overtake standard e-cigarette. Its dynamic vaporizer customization makes it challenging to assess long-term health effects. Case reports on the pulmonary complications of e-cigarettes are limited to bronchiectasis, eosinophilic pneumonia, pleural effusion, and suspected hypersensitivity pneumonitis. Diffuse alveolar hemorrhage (DAH) is bleeding into the alveolar spaces of the lung secondary to disruption of the alveolar-capillary basement membrane. We report a case of young male presenting with subacute respiratory failure. He was later found to have diffuse alveolar hemorrhage syndrome that is likely induced by aggressive vaping. This adds up to the rising concern on the possible serious complications of this innovative technology designed as a safer alternative to traditional cigarettes.
自2007年电子烟问世以来，其使用量显著增加。具有讽刺意味的是，关于电子烟呼吸并发症的已发表文献仍然很少。个性化蒸发器的使用，即通常所说的“吸电子烟”，已开始超过标准电子烟。其动态蒸发器定制使得评估长期健康影响具有挑战性。关于电子烟肺部并发症的病例报告仅限于支气管扩张、嗜酸性粒细胞性肺炎、胸腔积液和疑似过敏性肺炎。弥漫性肺泡出血（DAH）是由于肺泡-毛细血管基底膜破坏继发血液流入肺的肺泡腔。我们报告一例年轻男性出现亚急性呼吸衰竭的病例。他后来被发现患有弥漫性肺泡出血综合征，可能是由过度吸电子烟引起的。这增加了人们对这种被设计为比传统香烟更安全替代品的创新技术可能产生的严重并发症的日益担忧。
