Case 6
A 17-year-old white male presented with 6 days of fever to 39.4°C (103°F), abdominal pain and vomiting. At an outside facility a CT of the abdomen was done showing no abdominal abnormalities however bilateral basilar lung opacities were noted. At admission was febrile with abdominal pain, had significantly elevated inflammatory markers. His FRVP, SARS-CoV-2 PCR and antibodies were negative. He acknowledged the use of E-cigarettes. His THC-urine test was positive. A dedicated CT of the chest showed bilateral ground-glass opacities with subpleural sparing and the infectious workup was negative, especially for histoplasma infection that was high on the differential. He improved after 5 days of hospital stay and throughout infectious testing, without any specific treatment, for which EVALI was diagnosed and follow-up as an outpatient was arranged.