Lesión pulmonar asociada al uso de cigarrillos electrónicos o productos de vapeo (EVALI): a propósito de un caso relacionado a neumonía eosinofílica aguda
Lung injury associated with the use of electronic cigarettes or vaping products (EVALI): Apropos of a case related to acute eosinophilic pneumonia
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Resumen
La lesión pulmonar asociada al uso de cigarrillos electrónicos o vapeo (EVALI) es una enfermedad respiratoria aguda o subaguda que puede ser grave y potencialmente mortal. Vapear es el proceso de inhalar un aerosol creado al calentar una sustancia como la nicotina o el tetrahidrocannabinol (THC) con un dispositivo electrónico que funciona con baterías, como un cigarrillo electrónico. En el mundo se han descrito más de 2.000 casos, 2/3 hombres, entre los 13 y 75 años. A continuación, presentamos un caso de una paciente de 15 años, con antecedente de consumo de cigarrillo y cannabis vapeado, quien es llevada por sus padres a una institución de alta complejidad por un cuadro respiratorio agudo grave, descartando inicialmente infección por SARS-CoV-2, en quien finalmente se confirma una EVALI manifestada histológicamente como neumonía eosinofílica aguda.
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Referencias (VER)
Gotts JE, Jordt SE, McConnell R, Tarran R. What are the respiratory effects of e-cigarettes? BMJ. 2019 Sep 30;366:15275. doi: 10.1136/bmj.l5275.
Triantafyllou GA, Tiberio PJ, Zou RH, Lamberty PE, Lynch MJ, Kreit JW, Gladwin MT, Morris A, Chiarchiaro J. Vaping-associated Acute Lung Injury: A Case Series. Am J Respir Crit Care Med. 2019 Dec 1;200(11):1430-1431. doi:10.1164/rccm.201909-1809le
Layden JE, Ghinai I, Pray I, Kimball A, Layer M, Tenforde MW, Navon L, Hoots B, Salvatore PP, Elderbrook M, Haupt T, Kanne J, Patel MT, Saathoff-Huber L, King BA, Schier JG, Mikosz CA, Meiman J. Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Final Report. N Engl J Med. 2020 Mar 5;382(10):903-916. doi: 10.1056/NEJMoa1911614.
Jonas AM, Raj R. Vaping-Related Acute Parenchymal Lung Injury: A Systematic Review. Chest. 2020 Oct;158(4):1555-1565. doi:10.1016/j.chest.2020.03.085
Chatham-Stephens K, Roguski K, Jang Y,et al. Lung Injury Response Epidemiology/Surveillance Task Force; Lung Injury Response Clinical Task Force. Characteristics of Hospitalized and Nonhospitalized Patients in a Nationwide Outbreak of E-cigarette, or Vaping, Product Use-Associated Lung Injury - United States, November 2019. MMWR Morb Mortal Wkly Rep. 2019 Nov 22;68(46):1076-1080. doi: 10.15585/mmwr.mm6846e1
Thota D, Latham E. Case report of electronic cigarettes possibly associated with eosinophilic pneumonitis in a previously healthy active-duty sailor. J Emerg Med. 2014 Jul;47(1):15-7. doi: 10.1016/j.jemermed.2013.09.034.
Butt YM, Smith ML, Tazelaar HD, et al. Pathology of Vaping-Associated Lung Injury. N Engl J Med. 2019 Oct 31;381(18):1780-1781. doi: 10.1056/NEJMc1913069.
Agustin M, Yamamoto M, Cabrera F, Eusebio R. Diffuse Alveolar Hemorrhage Induced by Vaping. Case Rep Pulmonol. 2018 Jun 7;2018:9724530. doi: 10.1155/2018/9724530.
Schier JG, Meiman JG, Layden J,et al. CDC 2019 Lung Injury Response Group. Severe Pulmonary Disease Associated with Electronic-Cigarette-Product Use - Interim Guidance. MMWR Morb Mortal Wkly Rep. 2019 Sep 13;68(36):787-790. doi: 10.15585/mmwr.mm6836e2.
Reddy A, Jenssen BP, Chidambaram A, et al. Characterizing e-cigarette vaping-associated lung injury in the pediatric intensive care unit. Pediatr Pulmonol. 2021 Jan;56(1):162-170. doi: 10.1002/ppul.25086
Conuel EJ, Chieng HC, Fantauzzi J, Pokhrel K, Goldman C, Smith TC, Tiwari A, Chopra A, Judson MA. Cannabinoid Oil Vaping-Associated Lung Injury and its Radiographic Appearance. Am J Med. 2020 Jul;133(7):865-867. doi: 10.1016/j.amjmed.2019.10.032.
Larsen BT, Butt YM, Smith ML. More on the Pathology of Vaping-Associated Lung Injury. Reply. N Engl J Med. 2020 Jan 23;382(4):388-390. doi: 10.1056/NEJMc1914980
Henry TS, Kanne JP, Kligerman SJ. Imaging of Vaping-Associated Lung Disease. N Engl J Med. 2019 Oct 10;381(15):1486-1487. doi: 10.1056/NEJMc1911995
Henry TS, Kligerman SJ, Raptis CA, Mann H, Sechrist JW, Kanne JP. Imaging Findings of Vaping-Associated Lung Injury. AJR Am J Roentgenol. 2020 Mar;214(3):498-505. doi: 10.2214/AJR.19.22251.
Kalininskiy A, Bach CT, Nacca NE, et al. E-cigarette, or vaping, product use associated lung injury (EVALI): case series and diagnostic approach. Lancet Respir Med. 2019 Dec;7(12):1017-1026. doi: 10.1016/S2213-2600(19)30415-1.
Rao DR, Maple KL, Dettori A, et al. Clinical Features of E-cigarette, or Vaping, Product Use-Associated Lung Injury in Teenagers. Pediatrics. 2020 Jul;146(1):e20194104. doi: 10.1542/peds.2019-4104.
Kligerman S, Raptis C, Larsen B, et al. Radiologic, Pathologic, Clinical, and Physiologic Findings of Electronic Cigarette or Vaping Product Use-associated Lung Injury (EVALI): Evolving Knowledge and Remaining Questions. Radiology. 2020 Mar;294(3):491-505. doi: 10.1148/radiol.2020192585.
Aberegg SK, Cirulis MM, Maddock SD, et al. Clinical, Bronchoscopic, and Imaging Findings of e-Cigarette, or Vaping, Product Use-Associated Lung Injury Among Patients Treated at an Academic Medical Center. JAMA Netw Open. 2020 Nov 2;3(11):e2019176. doi: 10.1001/jamanetworkopen.2020.19176.
Wang KY, Jadhav SP, Yenduri NJS, et al. E-cigarette or vaping product use-associated lung injury in the pediatric population: imaging features at presentation and short-term follow-up. Pediatr Radiol. 2020 Aug;50(9):1231-1239. doi: 10.1007/s00247-020-04698-x.
Davidson K, Brancato A, Heetderks P, et al. Outbreak of Electronic-Cigarette-Associated Acute Lipoid Pneumonia - North Carolina, July-August 2019. MMWR Morb Mortal Wkly Rep. 2019 Sep 13;68(36):784-786. doi: 10.15585/mmwr.mm6836e1.