Case Report

Review of Cases of E-Cigarette or Vaping Product Use-Associated Lung Injury (EVALI) and Brief Review of the Literature

Table 1

Lab work on admission.

Case 1Case 2

Infectious workup
White cell count11.3K/μl14.3K/μl
Sedimentation rate (ESR)80 mm/hr91 mm/hr
Procalcitonin0.21 ng/ml0.40 ng/ml
Legionella urine antigenNegativeNegative
Pneumococcal urine antigenNegativeNegative
Histoplasma urine antigenNegativeNegative
Blood culture for aerobic & anaerobic growthNegativeNegative
Respiratory viral pathogen screenNegativeNegative
Sputum cultureNegativeNegative
Sputum AFB smearNegativeNegative
HIV AG/ABNegativeNegative
ANCANegativeNegative
1,3-b-d-GlucanNegativeNegative
BAL cell count and differentialsNormalNormal
BAL total nucleated cells440/μl640/μl
BAL RBCs<10.000/μl<10.000/μl
BAL neutrophils49%39%
BAL lymphocytes28%5%
BAL monocytes17%8%
BAL phagocytes6%48%
BAL fungal culture with specialNegativeNegative
BAL vulture viral reflexNegativeNegative
BAL bacterial cultureNegativeNegative
BAL Aspergillus antigenNegativeNegative
Miscellaneous workup
Lyme disease serologyNegative
Rapid strep ANegative
West Nile antibodiesNegative
Glomerular basement membrane (GBM) antibodiesNegative
Mononucleosis screenNegative
Complement levelsNormal
LDH levelNormal
ProBNP74 pg/ml
CRP>375 mg/l
Coccidioides antibodiesNegative
Hypersensitivity pneumonitis panelNegative
BAL AFP culture and smearNegative
BAL PCR for LegionellaNegative