...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Hypersensitivity Pneumonitis and Acute Respiratory Distress Syndrome From E-Cigarette Use
【24h】

Hypersensitivity Pneumonitis and Acute Respiratory Distress Syndrome From E-Cigarette Use

机译：来自电子烟的过敏肺炎和急性呼吸窘迫综合征

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Case report of an adolescent who developed acute respiratory distress syndrome requiring intubation and chest tube placement secondary to hypersensitivity pneumonitis from e-cigarette use. Electronic cigarette (e-cigarette) use, or "vaping," is gaining widespread popularity as an alternative to conventional cigarettes among adolescents. Little is known of the health risks of e-cigarette use, especially in children and adolescents. We present a Case Report of a previously healthy 18-year-old woman who presented with dyspnea, cough, and pleuritic chest pain after e-cigarette use. She developed respiratory failure with hypoxia and was intubated, and ultimately met diagnostic criteria for acute respiratory distress syndrome. Chest tubes were placed to drain worsening pleural effusions. Computed tomography of the chest revealed dependent opacities in both lung bases, superimposed smooth interlobular septal thickening, and pleural effusions. Bronchoalveolar lavage revealed cellular debris and reactive mononuclear cells, and cell counts were remarkable for elevated mononuclear cells and eosinophilia. After the results of a workup for an infectious etiology came back negative, the patient was diagnosed with hypersensitivity pneumonitis and intravenous methylprednisolone therapy was initiated. After this the patient rapidly improved, was weaned off vasopressor support, and was extubated. This is the first reported case of hypersensitivity pneumonitis and acute respiratory distress syndrome as a risk of e-cigarette use in an adolescent, and it should prompt pediatricians to discuss the potential harms of vaping with their patients. Hypersensitivity pneumonitis, lipid pneumonia, and eosinophilic pneumonia should be included in the differential diagnosis of patients who exhibit respiratory symptoms after the use of an e-cigarette.
机译：发育急性呼吸窘迫综合征的青少年的病例报告需要继承患者的急性呼吸窘迫综合征，从电子烟中使用继发于过敏肺炎的过敏肺炎。电子烟（电子烟）使用或“衰退”在青少年中常规卷烟的替代方案越来越普遍。众所周知，e-卷烟使用的健康风险，特别是在儿童和青少年。我们提出了一个患有呼吸困难，咳嗽和胸膜胸部疼痛的先前健康的18岁女性的案例报告。她发育了缺氧的呼吸衰竭，并提高了，最终符合急性呼吸窘迫综合征的诊断标准。胸部管被放松以排出恶化的胸腔积液。胸部的计算机断层扫描揭示了肺部基地的依赖性透明度，叠加光滑的间隔温度和胸腔积液。 Bronchoalveolar灌洗揭示了细胞碎片和反应性单核细胞，细胞计数显着升高单核细胞和嗜酸性粒细胞。在对传染病学的余处进行后处理的结果后，患者被诊断出患有超敏肺炎和静脉内甲基己酮酮治疗。在此患者迅速改善之后，被断开血管加压器支持，并拔管。这是第一个报告的超敏感性肺炎和急性呼吸窘迫综合征，作为青少年电子烟的风险，并且应该促使儿科医生讨论毒害与患者的潜在危害。超敏肺炎，脂质肺炎和嗜酸性肺炎应包括在使用电子烟后表现出呼吸系统症状的患者的鉴别诊断中。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号