Kichloo Asim, Khan Azkia, Siddiqui Nadir, Ejaz Hashim, Albosta Michael Stanley, Wani Farah, Lone Nazir
Central Michigan University, Saginaw, MI, USA.
Bassett Medical Center, Cooperstown, NY, USA.
J Investig Med High Impact Case Rep. 2020 Jan-Dec;8:2324709620972243. doi: 10.1177/2324709620972243.
Globally, health care providers have been challenged to provide adequate care during the coronavirus disease-2019 (COVID-19) pandemic. Due to the ever changing and rapidly evolving nature of the novel coronavirus, there is increased public anxiety and knowledge gaps that have created major dilemmas in health care delivery. In this environment, there is tremendous pressure on clinicians to diagnose each and every case of COVID-19. This has led to a situation in which clinicians are primed to suspect all respiratory illness is due to COVID-19 infection until proven otherwise. Because of this, providers may misdiagnose patients who have illnesses that are distinct from COVID-19 but present in a similar manner. In the current article, we present the case of e-cigarette- and vaping-associated acute lung injury (EVALI) mimicking pneumonia secondary to the novel coronavirus. It is unknown if vaping puts patients at higher risk of respiratory failure if coinfected with COVID-19. Therefore, exposure history in patients presenting with pneumonia-like syndrome is important. Physicians should be aware of the overlap between these conditions and should pay particular attention during history taking to distinguish EVALI from COVID-19 pneumonia.
在全球范围内，医疗保健提供者在2019年冠状病毒病（COVID-19）大流行期间面临着提供充分护理的挑战。由于新型冠状病毒不断变化且迅速演变的特性，公众焦虑情绪增加，知识差距也在扩大，这给医疗服务的提供带来了重大困境。在这种环境下，临床医生面临着诊断每一例COVID-19病例的巨大压力。这导致了一种情况，即临床医生在没有其他证据的情况下，倾向于怀疑所有呼吸道疾病都是由COVID-19感染引起的。因此，医疗服务提供者可能会误诊那些患有与COVID-19不同但表现相似疾病的患者。在本文中，我们介绍了一例模仿新型冠状病毒继发肺炎的电子烟和雾化相关急性肺损伤（EVALI）病例。如果与COVID-19合并感染，雾化是否会使患者面临更高的呼吸衰竭风险尚不清楚。因此，出现肺炎样综合征患者的接触史很重要。医生应意识到这些情况之间的重叠，在问诊过程中应特别注意区分EVALI和COVID-19肺炎。
