Case Presentation: A 29-year-old male with no significant past medical history was admitted with 10 days of persistent fevers, cough, shortness of breath that worsened with exertion, weight loss, nausea, and vomiting. The patient had no history of travel to any TB-endemic areas, was in a monogamous relationship with his wife, denied IVDU, and had [...]

Case Presentation: A 24 year-old man with past medical history significant for tobacco, marijuana, and e-cigarette use presented to the emergency department for hemoptysis, dyspnea, cough with pleuritic chest pain, and subjective fevers. Twenty-four hours prior to presentation, the patient endorsed first-time use of a street-purchased e-cigarette cartridge containing tetrahydrocannabinol (THC). The patient had acute [...]

Case Presentation: A 19 year old female with history of marijuana use presented with subacute, progressive shortness of breath. Productive cough began two weeks prior to presentation. She was diagnosed with atypical pneumonia and received azithromycin from her outpatient provider. After two days without improvement in symptoms, she presented to a nearby hospital with acutely [...]

Case Presentation: A 19-year-old woman with a history of polysubstance abuse and recent e-cigarette/vaping product use associated lung injury (EVALI) presented to the Emergency Room (ER) at a rural medical center with Acute Respiratory Failure and Altered Mental Status (AMS). Pt was 3 months post-partum. Past medical history included chronic migraine headaches and Grave’s disease. [...]

Case Presentation: Here-in, we presented a 27-year-old female who initially presented to an outside hospital with complaints of extreme fatigue, fevers, and diffuse myalgia in the setting of cough, shortness of breath and sharp lower abdominal and back pain. Upon thorough questioning, she admitted to using vaporized Cannabidiol oil for the past 3-4 weeks to [...]

Case Presentation: 22-year-old Caucasian male who presented to our Texas hospital with dyspnea. His symptoms started two days prior with fever to 103°F, vomiting, and a cough with white sputum. The patient worked as a bartender and endorsed daily tetrahydrocannabinol (THC) vaper use. Upon admission, he exhibited tachycardia (137 bpm), tachypnea (30 bpm), hypoxemia (O2 [...]

Case Presentation: A 19-year-old female with past medical history of asthma, GERD, and anxiety presented with chief complaint of dyspnea, fever, pleuritic chest pain, and vomiting. She was diagnosed with community acquired pneumonia based on multifocal opacities on CT and started on ceftriaxone and azithromycin with initial improvement of symptoms and leukocytosis. On hospital day [...]

Case Presentation: E-cigarette or vaping product use-associated lung injury (EVALI) emerged as a significant public health concern during a 2019 CDC outbreak that affected 2,800 individuals and caused 68 deaths nationwide. While EVALI primarily affects young males, it manifests with respiratory, gastrointestinal, and systemic symptoms that can mimic conditions like pneumonia or COVID-19, creating diagnostic [...]

Case Presentation: Vaping-induced organ injuries are increasingly seen in the clinical setting, as the use of vaporizers to smoke tobacco and marijuana has risen almost 150% in the past several years [1]. Cardiotoxicity from vaporizer use has not been reported, and thus the incidence of this phenomenon is unknown. Regular assessment of cardiac function may [...]

Case Presentation: A 22-year-old Hispanic male with PMHx of vaping (since age 11) presented with acute chest pain and dyspnea. He used vaper device with flavored nicotine juice 6 mg/mL (0.6% Nicotine) and contains glycerin and propylene glycol. He vaped heavily (multiple cartridges daily) in the week leading up to admission. The day before, he [...]