When an otherwise hefty 16 - year - old boy come down with a persistent cough , fever , and increasing respiration difficulty for a week , he was treat with antibiotic and an asthma attack inhaler – both of which had lilliputian upshot .

soon after being admitted to the infirmary , he “ deteriorated rapidly ” ultimately leading to a case of “ catastrophic respiratory sickness ” . The son was diagnosed with respiratory failure and take external assistance for the heart and lung to work properly , as well as intravenous antibiotics and steroid . Within 10 day he was deem critical and developed severe muscle weakness due to the illness and steroids .

That ’s when the adolescent inform Doctor that he had previously used two different types of east - cigarette liquids purchase over the return middling frequently , both of which had the same ingredients with the exception of flavorings .

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Lung scans and biopsy sample demonstrate a “ reason chicken feed appearing ” in his lung , declarative of airwave sac in his gravely inflamed lungs . Such symptom are commonly hear in font ofhypersensitivity pneumonitis , a disease triggered by an allergic chemical reaction to inhaling debris , fungus , mold , or chemical substance . Researchers conceive that chemical in e - cigarette fluid may have actuate an exaggerated immune or supersensitised reception , get life story - threatening lung inflammation in an otherwise healthy new man . A skin allergic reaction test including a little amount of vaping fluid confirmed that the adolescent was sensitive to chemic induction . to boot , a blood trial showed that more antibodies were present in one of the liquids , indicating that one may have sparked a reaction .

In all , the stripling spent 35 Clarence Shepard Day Jr. in the hospital and it took 14 months for his symptom to clear and lung function to return to normal .

Although it is just one case of such a response , the researchers note that the font study indicate just how little we read about the effects of vaping .

" There are two important object lesson here . The first is always to consider a chemical reaction to e - coffin nail in someone presenting with an atypical respiratory malady . The second is that we consider e - cigarette as ' much safe than tobacco plant ' at our riskiness , ” reason the author inArchives of Disease in Childhood .

wellness official in the US are investigating what they deem a “ national outbreak ” ofrespiratory unwellness and lung injuryassociated with theuse of e - cigarettes . More than 1,880 associated case and at least34 deathshave been linked toEVALI , short for e - butt or vaping product use - associated lung harm – and wellness experts say may just be the “ tip of the iceberg ” .

EVALI has been associate to at least 34 deaths as of October 24 ,   according to theCDC . Daria Chernobrovkina / Shutterstock

Last hebdomad , the US Food and Drug Administration ( FDA ) confirmed that sample obtained by the agencytested positivefor vitamin E acetate , which may be used as a thickening factor in   tetrahydrocannabinol or THC ( the psychotropic component of ganja ) production and as an additive in the product of vaping Cartesian product . New York State health investigatorsannouncedin September that they believed hemp - containing vape products were responsible for for the lung - relate illness . Initial research laboratory tests indicated high levels of vitamin eastward ethanoate in nearly every sample test by the NY health department . Of 900 EVALI patients , 86 percentage report using tetrahydrocannabinol products in the three months before experiencing symptom . The Centers for Disease Control and Prevention ( CDC ) read more studies are require , particularly to square off wellness impact on good for you volunteer and animate being in a control setting to harness out possible other factor that could cause lung injury .

“ Until the relationship of vitamin E acetate rayon and lung health is well characterized , it is important that vitamin tocopherol acetate not be total to e - coffin nail , or vaping , products , ” said the CDC in astatement .

As the investigation continues , wellness officials advise keep off using einsteinium - cigarette products containing THC , especially those obtained from loose sources .