32-year-old man suffers from “E-cigarette” pneumonia, shocked to see he smokes 4 pods a day, symptoms are very scary, hospitalized for a month
Today (19 Nov 67), Dr. Chayanan Sittibut, Director of the Tobacco Product Control Board, Department of Disease Control, along with Dr. Pawinee Wongprasit, a specialist at Buriram Hospital, jointly announced the news of a patient with pneumonia from e-cigarette smoking who was admitted to Buriram Hospital for treatment.
Dr. Pawinee thanked the patient and his family for allowing the story and medical history to be published. This patient was a 32-year-old male who came to the hospital with symptoms of coughing up blood, shortness of breath, and severe acute pneumonia. The สมัคร ufabet doctor inserted a breathing tube. An X-ray showed white patches on his lungs. His symptoms deteriorated rapidly within 24-36 hours, which is not often found. The doctor therefore tested for viral and bacterial infections, including tuberculosis, but the test results did not find any.
During the patient’s hospital stay, he experienced withdrawal symptoms. The doctor suspected that it was due to nicotine withdrawal. However, since the patient was initially intubated, he could not speak, so the doctor could not take a detailed medical history. Later, when the patient’s symptoms improved, the breathing tube could be removed. The doctor asked about the patient’s history and found that the patient had a history of smoking e-cigarettes, up to 400 times a day, or about 4 pods a day, and smoking e-cigarettes together with cigarettes. He also had diabetes and high blood pressure. The doctor diagnosed him with e-cigarette-induced pneumonia, or Evali. Dr.
Pawinee continued that this patient had been hospitalized for 28 days. The doctor had him quit smoking cold turkey. At present, the patient has stopped smoking and his symptoms have improved. He can return to work as usual. In patients with Evali, pneumonia is different from general infections. For example, this patient’s chest X-ray results changed rapidly within 10 hours. If he had not seen a doctor or had a breathing tube inserted in time, the patient would have died. This may have been a case of death from pneumonia without a known cause.
Dr. Chayanan said that Ivary is a pneumonia caused by vaping. Patients have been reported since 2019 in the United States. Almost 2,000 patients were found, with an average age of 20-30 years. Approximately 60 people died, accounting for 2.3%. The severe pneumonia was diagnosed as being caused by the cannabis oil in e-cigarettes. However, it was also found that e-cigarettes that do not contain cannabis oil can also cause severe pneumonia. Therefore, it is not clear what type of liquid causes Ivary. The
danger of e-cigarettes is not only the product itself. The user’s smoking behavior can also cause pneumonia. E-cigarettes are more addictive than regular cigarettes. The Department of Disease Control adjusted the surveillance system for pneumonia caused by vaping in September. It is required that doctors ask about the history of vaping in patients who are at risk of pneumonia and report the results to the provincial public health office to record the data into the surveillance system. This will be used as information to determine the direction of the policy for controlling e-cigarettes in Thailand.
When asked if this patient was the first in Thailand, Dr. Chayanan said that in Thailand, the first case of Iwari disease was reported in 2019. After that, the disease surveillance system focused more on COVID – 19, which resulted in cases reported but not officially reported. Now, the Department of Disease Control has adjusted the surveillance system, making this patient the first case of 2024.