Discordant bilateral bronchoalveolar lavage findings in a patient with acute eosinophilic pneumonia associated with counterfeit tetrahydrocannabinol oil vaping.
作者信息
Puebla Neira Daniel, Tambra Sarah, Bhasin Vibha, Nawgiri Ranjana, Duarte Alexander G
机构信息
Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Division of Pulmonary and Critical Care Medicine, University of Texas Medical Branch, Galveston, TX, USA.
出版信息
Respir Med Case Rep. 2020 Feb 3;29:101015. doi: 10.1016/j.rmcr.2020.101015. eCollection 2020.
Abstract
Vaping has emerged as a popular alternative form of inhalation of nicotine and marihuana derivates (including Tetrahydrocannabinol, THC) in part due to the avoidance of combustion byproducts. Unfortunately, THC oil (especially that produced by unregulated individuals) may contain dilutants such as propylene glycol, vitamin E, and flavoring ingredients that can lead to adverse respiratory effects. Acute eosinophilic pneumonia (AEP) has been described in association with e-cigarette and vaping associated lung injury (EVALI) but the majority of bronchoalveolar lavage (BAL) samples reported in the literature do not show eosinophils as the predominant cell lineage. Only two other cases of AEP have been published, and here we present the first case reported in the literature of a patient with EVALI with AEP pattern associated with counterfeit tetrahydrocannabinol (THC) oil vaping and discordant bilateral BAL cell count differential.
摘要
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