Share This Article:

Bilateral Pneumonia and Pleural Effusions Subsequent to Electronic Cigarette Use

Abstract Full-Text HTML XML Download Download as PDF (Size:1187KB) PP. 18-22
DOI: 10.4236/ojem.2015.33004    3,106 Downloads   3,882 Views   Citations


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.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

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.


[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.

comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.