• Pedro Wainer, Alejandro Decoud, Daniela Migliore, Valeria Taglapietra, César Gnocchi, Gonzalo Lopez Macchi, Eduardo Diez, and Ricardo Gene.
• Servicio de Clínica Médica, Sanatorio Otamendi, Buenos Aires, Argentina. E-mail:wainerp@otamendi.com.ar.
• Medicina (B Aires). 2022 Jan 1; 82 (1): 151-153.

AbstractVaping is considered to be the inhalation of aerosols generated by heating liquids. There are devices freely marketed for vaping, with electronic cigarettes being the most common. These products are associated with the appearance of lung injury, either vaping-induced lung injury (VAPI), or lung injury associated with vaping and electronic cigarettes (EVALI). We presented the case of a 54-year-old woman with a history of vaping in the last 9 months. She consulted for acute dyspnea (class IV) associated with nausea and vomiting of 18 hours of evolution. Upon admission, she presented respiratory failure. Orotracheal intubation was performed with mechanical ventilatory assistance. A chest tomography revealed bilateral diffuse alveolar infiltrates. The clinical picture was interpreted as VAPI/EVALI. The exact pathophysiology of vaping-induced lung injury is still unknown; dyspnea and cough are the most frequent symptoms. All patients have pathological radiological images. Respiratory support and systemic corticosteroids are the treatment of choice.

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