Another Case Series of Patients with Vaping-Associated Lung Injury

Cases of acute e-cigarette, or vaping, product use–associated lung injury (EVALI) continue to be reported across the U.S., with ongoing investigation about etiology. Investigators prospectively studied 60 patients with EVALI who were cared for at 24 hospitals and 160 clinics in Utah. Average age of EVALI patients was 27; 80% were men; and all had vaped nicotine, tetrahydrocannabinol, or both. As noted in previous reports, a constellation of respiratory, constitutional, and gastrointestinal symptoms was virtually universal. More than half of patients were admitted to intensive care, although fewer than 20% received mechanical ventilation. A minority of patients underwent bronchoscopy, but in those who did, lipid laden macrophages were common…