Teen develops ‘wet lung’ after vaping for just 3 weeks

(CNN) A good 18-year old woman working being a hostess in a rural Pennsylvania eating place decided to try e-cigarettes, perhaps one more of the innumerable bistro workers looking to calm frayed nerves with a smoke cigarettes — or in this case, a vape.

This hostess, though, paid a unique price for her e-cig use, based on a case study published Thursday night in the medical journal Pediatrics. As always for a patient report, the writers did not disclose the young female’s name to protect the girl privacy .
E-cigarettes heat water and turn it into vapor, which usually a user inhales and then exhales within a large puffy cloud. The water is known as e-juice, and it contains flavorings, propylene glycol, glycerin and often smoking — though many users are not aware this final addictive ingredient.

The hostesshad already been vaping for only about three days last year when she developed signs and symptoms bad enough to send her towards the emergency room of the University of Maryland Medical Center.
There, doctors recorded her problems: cough, difficulty breathing that was deteriorating by the minute, and sudden stabbing pains in the chest with each inhalation and exhalation. Not however feverish, she showed no top respiratory symptoms such as a runny nasal area or nasal congestion. In the past, the lady said, the only lung problems the lady had were from mild asthma, which rarely required the use of a good inhaler.

When her coughing grew to become more frequent, the ER physicians admitted her to the pediatric intensive-care unit and started her upon antibiotics. But her condition quickly worsened.
Shortly, the young woman experienced what is commonly known as respiratory system failure, said Dr . Daniel Weiner, one of the patient’s doctors, a co-author of the new report and a healthcare director at Children’s Hospital associated with Pittsburgh at UPMC.
“She was not able to get enough oxygen into the girl blood from her lungs plus required a mechanical ventilator (respirator) to breathe for her until the girl lungs recovered, ” Weiner stated.
Not only do the hostess require a breathing device, she needed tubes inserted to both sides of her chest in order to drain fluid from her lung area.
Her physicians diagnosed hypersensitivity pneumonitis , sometimes known as wet lung, an inflammation of the lung area due to an allergic reaction to chemical substances or dust.
Dr . Casey Sommerfeld, the particular patient’s pediatrician and lead writer of the study, said chemicals within the e-cigarettes led to lung damage plus inflammation, which triggered the woman’s entire body to mount an immune reaction.
“This immune response can lead to increased swelling and ‘leaky’ blood vessels, which can result in fluid accumulation in the lungs, inch said Sommerfeld, now a general doctor at Children’s Healthcare of Lawrenceville.

‘More case reports and side effects’

The girl was treated with an IV associated with methylprednisolone, a drug used to deal with severe allergic reactions.
She improved swiftly and had been weaned off the mechanical support program five days after being accepted to the hospital.
“It is difficult to speculate about how frequently this could happen; however , there are some case reports involving adults that will developed respiratory distress following e-vape use, ” Sommerfeld said. “As electronic cigarette use increases, we will be viewing more case reports and negative effects. ”
Ilona Jaspers, a professor in the Sections of Pediatrics and Microbiology plus Immunology at the University of New york at Chapel Hill, said the situation study suggests that e-cigarettes will cause unfavorable health consequences that had not been noticed with conventional cigarettes.
Jaspers, who was not active in the study, added that even though it explains just one patient, it “highlights the significance of potential adverse health effects connected with e-cigarette use. ”
Additionally , the associated with symptoms related to a number of serious lung conditions suggests that the negative wellness effects of e-cigarettes may “manifest in a number of different ways, ” she said.
Her research has shown that certain e-cigarette flavor chemical substances significantly reduce the function of defense cells.

‘Risky behavior’

Sommerfeld noted that will, as vaping products contain smoking, “vaping can cause side effects including fatigue, headaches, nausea, racing heart, stress and anxiety and difficulty with sleep. Smoking is known to be addictive, and kids can become hooked on electronic cigarettes. ”
Jaspers stated that, “in addition to nicotine addiction, which usually by itself will have effects on the teenage brain, we just do not know however what the long term health effects of contact with e-cigarettes may be. We also have no idea whether potential health effects brought on by using e-cigarettes are more pronounced” within teens.
The particular rapid spread of vaping had been highlighted by a 2016 report from the US surgeon general that will cited a 900% increase in ecigarette use by high school students from last year to 2015. Meanwhile, the 2016 Nationwide Youth Tobacco Survey noted that 1 . 7 mil high school students said they had used e-cigarettes in the previous 30 days.
“I hope we can find a way in order to quickly reverse this trend, inch Jaspers said.

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Sommerfeld agreed. Using e-cigarettes “normalizes” smoking, she said, and it is linked to an “increased likelihood of making use of typical cigarettes or tobacco items. ” For this reason, vaping and e-cigarette use should be included in discussions associated with “risky behavior” with teens, the lady said.
“As a pediatrician, I am generally a child advocate and seeking to talk out on the best interest of children. inch