The parents of Texas teenager Trison Sochfeld had no idea that their son was using vaping products when he became ill earlier this summer with an unexplained, rapidly progressing respiratory illness.
A 17-year-old representative of Fort Worth Cook Children's Medical Center with abdominal pain, vomiting and extreme difficulty breathing.
A battery of tests quickly ruled out infection, and a pulmonary biopsy and autoimmunoassay also failed to find a cause for his lung failure.
"A million dollars worth of work, but we couldn't find anything to explain what's going on with it," said Karen Schultz, a pediatric pulmonologist at Cook Children MedPage Today .
On the third day of Tryson's through the hospital, his parents informed his still puzzled doctors that they had learned that he had been vamping since the age of 1
"That was a very sick child," Schultz says.
The Sochfeld case is one of hundreds in the whole country related to respiratory problems related to vaping or e-cigarette use. As of the end of last week, the CDC confirmed 215 cases of severe lung disease among recent soldiers in 25 states as of June 28, as well as one death in Illinois.
Although no official reason is given, investigators have settled on the black-marketed cannabis or nicotine products, recently warning consumers to get rid of them and stop modifying those products at home. Physicians who have treated cases of vaping-related illness have reported MedPage Today that many patients report vaping tetrahydrocannabinol (THC) oil, especially from illegal sources.
Focus on Pot Oil
No substance or e-cigarette is permanently associated with the disease, but the recent CDC Health Alert Network noted that "many patients have reported that they use electronic cigarettes containing cannabinoid products, such as THC or CBD [cannabidiol]. "
In Illinois, many but not all cases report that they vaporize black market products ning THC oil.
"Not everyone reports that they use THC oil, but we can't tell if it was because they were scared to admit it or because they never used it," Ngozi Ezike, MD, director of the department at Illinois Public Health (IDPH) told MedPage Today on .
Scott Aberg, MD, MPH, a pulmonologist at the University of Utah in Salt Lake City who treats patients with vaping disease, also confirmed Today, MedPage presented at his hospital, reported vaping THC.
"Without discussing specific cases, I can say that as we take a more detailed history; our group and others find THC (vaping) used, "he said." It is currently speculated, but certainly the substance causing these reactions is of great interest. And THC is high on the list of suspects. "
THC or CBD oil blackmail was involved in a group of eight recent hospitalizations occurring in one California county.
Marijuana sales, including THC and CBD oil, are legal and regulated in King's County. , California, with a population of about 150,000. But all eight of the recent respiratory cases reported in the recent cluster include patients who purchased vacuum cartridges containing THC or CBD from unlicensed pop-up retailers.
were longtime people who have recently made the move to cheaper ones THC- or CBD- products purchased from unlicensed retailers, "says Nicole Fisher, RN, of Kings County Public Health, MedPage Today .
Fisher said there were several vaping samples black market products related to the cases were recovered and sent to officials for analysis.
Anne Griffith, MD, Pediatric Pulmonologist at Child Respirators and Critical Care Specialists in Minneapolis, agreed that her data center continue to suggest that vaping THC oil, which is often bought online, plays a key role in disease.
The Minnesota Children's Hospital Network has already reported 10 confirmed and four suspected cases of severe respiratory distress suspected of causing vaping. Cases ranged in age from 15 to 31 years, and several patients required mechanical ventilation.
Many report releasing two electronic cigarettes containing nicotine and THC oil, she said.
Non-Hooked Commercial Products
Griffith warned that electronic cigarette trading products are not completely excluded.
"I don't think we can release commercial nicotine e-cigarettes from the hook," she added, noting that early research suggests that some flavors in e-cigarettes may alter the way lungs process chemicals.
In an earlier press briefing, Dr. Brian King, from the CDC's office on smoking, noted that "e-cigarette aerosol is not harmless".
Gregory Conley, president of the advocacy advocacy group of the American Vapping Association, says MedPage Today that he is convinced that ongoing federal and state investigations will lead to the suggestion of black-market cannabis canning products .
In an interview with CBS "This Morning" on August 28, Kevin Burns, CEO of JUUL's largest electronic cigarette manufacturer, said there was no clear link between JUUL's products and the reported cases. He added that he saw no reason to take e-cigarettes off the market, even temporarily, until he knew more about the source of the disease.
"If there is any indication that there is an adverse health condition associated with our product, I think we will take very quick action on it," he told CBS, adding that the company is working closely with federal Health officials in their investigations
Occurrences of vaping disease
John E. Parker, MD, of the University of West Virginia in Morgantown, was among the first clinicians in the country to warn of the potential of lung damage, con Waning after diagnosing lipoid pneumonia in a 31-year-old woman who used an electronic cigarette in acute respiratory distress.
The professor of lung medicine and critical care told MedPage Today that at least now she believed three different manifestations of lung injury associated with vaping: lipoid pneumonia, cryptogenic organization of pneumonia, and alveolar hemorrhage syndrome.
"I just saw a 19-year-old young man in the clinic yesterday with 30 pounds of weight loss, two attacks and evidence of some kind of respiratory illness," he said.
In early August, the FDA reported receiving 127 reports of seizures or other neurological symptoms occurring between 2010 and 2017 and that it was investigating "to determine if there was a direct link" between e-cigarette use and incident.
Aberg said that he also believes that lipoid pneumonia is just one of several pulmonary disorders that may be associated with vaping.
"The reason for jumping to this, perhaps prematurely, is because we detect abnormal immune cells in patient's lungs that show data on lipid materials," he said, adding that this happens with several different lung diseases. "
" For me, the main point of this finding is that it implies that the immune system is recovering, "he
Doctors continue to treat cases
Utah resident Alexander Mitchell was severe ill with pulmonary insufficiency earlier this summer when o was taken to the University of Utah hospital 65 miles, just days after waking up with severe nausea, chest pain and difficulty breathing.
His symptoms rapidly progressed to acute respiratory distress syndrome (ARDS), and early Testing at the current hospital excluded the usual suspects.
Doctors there quickly suspected a vaping relationship in Mitchell's case and future tests showed that he might be suffering from lipoid pneumonia.
Mitchell spends two weeks at the University of Utah Hospital, including several days at the Thoracic Membrane Oxygen Stroke (ECMO) Stroke
Aberg, who was one of Mitchell's doctors, told MedPage Today ] that by the end of August, the hospital had treated more than half a dozen patients with possible lung injury associated with vaping.
"After the first five, we had another patient this week as a follow-up referral," said Abereg, "and was alerted by another pulmonologist that there are two still in the hospital at the moment."
2019-09-01T11: 00: 00-0400