A young female vaper presented with insidious onset cough, progressive dyspnoea on exertion, fever, night sweats and was in respiratory failure when admitted to hospital. Clinical examination was unremarkable. Haematological tests revealed only thrombocytopenia, which was long standing, and her biochemical and inflammatory markers were normal. Chest radiograph and high-resolution CT showed diffuse ground-glass infiltrates with reticulation. She was initially treated with empirical steroids and there was improvement in her oxygenation, which facilitated further tests. Since the bronchoscopy and high-volume lavage was unyielding, a video-assisted thoracoscopicsurgical biopsy was done later and was suggestive of lipoid pneumonia. The only source of lipid was the vegetable glycerine found in e-cigarette (EC). Despite our advice to quit vaping, she continued to use EC with different flavours and there is not much improvement in her clinical and spirometric parameters.Still vaping, JC?
Update: Helen Dale, vaper, is still busy tweeting articles supporting the habit (as being better than smoking, etc.) I like the way that article at the link relies heavily on (what would surely have to be) a rubbery figure by the suspiciously pro-vaping PHE that it's 95% safer that smoking cigarettes. Maybe it is: until it nearly kills you after a short time of use (if you are unlucky). Risk assessment is a funny thing - people do factor in the "but something might go suddenly wrong" in their feelings about both legal and illegal activities. Isn't that why lots of us will never be overcome with an urge to take a pill offered as a "safe" illicit but fun drug? It makes me not so interested in skydiving, too. (That and a general dislike of the falling sensation.)
The other thing about it is that the pro-activists are now talking as if there is no other way to quit or reduce smoking. Just like transexuals who used to just tuck it away, but now can't live without having it lobbed off, pro-vape advocates seem to talk as if nicotine patches and gum are just now completely inadequate for those trying to get off smoking.
I wonder if companies that made nicotine patches are running ads now pushing their safety? Seems a good idea to me.