Bilateral Pneumonia and Pleural Effusions Subsequent to Electronic Cigarette Use


Electronic nicotine delivery systems also known as electronic cigarettes (or e-cigarettes) are marketed by their manufactures as a safer alternative to tobacco cigarettes because of potentially reduced delivery of toxins. However, the scientific evidence and the long-term health effects of e-cigarettes are limited. We describe a case of a 43-year-old man who had been smoking electronic cigarettes excessively for three days and presented with acute dyspnea, increased work of breathing and tachycardia. Subsequent chest x-ray revealed bilateral pleural effusions. In addition, the patient had a new oxygen requirement and was thus admitted with a diagnosis of pneumonia and bilateral pleural effusions. The case and the potential harmful effects of electronic cigarettes are discussed herein.

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Moore, K. , Young II, H. and Ryan, M. (2015) Bilateral Pneumonia and Pleural Effusions Subsequent to Electronic Cigarette Use. Open Journal of Emergency Medicine, 3, 18-22. doi: 10.4236/ojem.2015.33004.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Trtchounian, A. and Talbot, P. (2011) Electronic Nicotine Delivery Systems: Is There a Need for Regulation? Tobacco Control, 20, 47-52.
[2] Green, C.R. and Rodgman, A. (1996) Methods of Collection of Smoke or Analytical Purposes. Recent Advances in Tobacco Science, 22, 131-133.
[3] Summary of Results: Laboratory Analysis of Electronic Cigarettes Conducted by FDA.
[4] Caponnetto, P., Campagna, D., Cibella, F., Morjaria, J.B. and Caruso M. (2014) Efficiency and Safety of an Electronic Cigarette (ECLAT) as Tobacco Cigarettes Substitute: A Prospective 12-Month Randomized Control Design Study. PLoS ONE, 8, e66317.
[5] Etter, J.F., Bullen, C., Flouris, A.D., Laugesen, M. and Eissenberg, T. (2001) Electronic Nicotine Delivery Systems: A Research Agenda. Tobacco Control, 20, 243-248.
[7] Jenkins, R.A., Tomkins, B. and Guerin, M.R. (2000) The Chemistry of Environmental Tobacco Smoke: Composition and Measurement, Ch. 4. CRC Press, Boca Raton.
[8] Frederiksen, L.W., Miller, P.M. and Peterson, G.L. (1977) Topographical Components of Smoking Behavior. Addictive Behaviors, 2, 55-61.
[9] Uchiyama, S., Iraba, Y. and Kumugta, N. (2010) Determination of Acrolein and Other Carbonyls in Cigarette Smoke Using Coupled Silica Cartridges Impregnated with Hydroquinone and 2,4-Dinitrophenylhydrazine. Journal of Chromatography A, 1217, 4383-4388.
[10] Trtchounian, A., Williams, W. and Talbot, P. (2010) Conventional and Electronic Cigarettes (E-Cigarettes) Have Different Smoking Characteristics. Nicotine & Tobacco Research, 12, 905-912.
[11] Romagna, G., Allifranchini, E., Bocchietto, E., Todeschi, S., Esposito, M. and Farsalinos, K.E. (2013) Cytotoxicity Evaluation of Electronic Cigarette Vapor Extract on Cultured Mammalian Fibroblasts (ClearStream-LIFE): Comparison with Tobacco Cigarette Smoke. Inhalation Toxicology, 25, 354-361.
[12] Vardavas, C., Anagnostopoulos, N., Kougias, M., Evangelapoulus, V., Connelly, G. and Behrakis, P. (2012) Short- Term Pulmonary Effects of Using Electronic Cigarettes: Impact on Respiratory Flow Resistance, Impedance, and Exhaled Nitric Oxide. Chest, 141, 1400-1406.

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