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J Med Case Rep. 2019 Sep 9;13(1):283. doi: 10.1186/s13256-019-2215-4.

Recurrent spontaneous pneumothoraces and vaping in an 18-year-old man: a case report and review of the literature.

Author information

1
Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
2
Department of Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
3
Division of Pulmonary and Critical Care, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
4
Division of Infectious Disease, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
5
Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. JVYAS@mgh.harvard.edu.
6
Department of Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA. JVYAS@mgh.harvard.edu.
7
Division of Infectious Disease, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA. JVYAS@mgh.harvard.edu.

Abstract

BACKGROUND:

Primary spontaneous pneumothorax is a common disorder occurring in young adults without underlying lung disease. Although tobacco smoking is a well-documented risk factor for spontaneous pneumothorax, an association between electronic cigarette use (that is, vaping) and spontaneous pneumothorax has not been noted. We report a case of spontaneous pneumothoraces correlated with vaping.

CASE PRESENTATION:

An 18-year-old Caucasian man presented twice with recurrent right-sided spontaneous pneumothoraces within 2 weeks. He reported a history of vaping just prior to both episodes. Diagnostic testing was notable for a right-sided spontaneous pneumothorax on chest X-ray and computed tomography scan. His symptoms improved following insertion of a chest tube and drainage of air on each occasion. In the 2-week follow-up visit for the recurrent episode, he was asymptomatic and reported that he was no longer using electronic cigarettes.

CONCLUSIONS:

Providers and patients should be aware of the potential risk of spontaneous pneumothorax associated with electronic cigarettes.

KEYWORDS:

Electronic cigarettes; Primary spontaneous pneumothorax; Pulmonary disease; Vaping

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