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.