Case 2
A 16-year-old white female presented with 6 days of fevers to 39.2°
(102.7°F), severe abdominal pain, and vomiting. She had tachypnea and a
transient desaturation to 88% before admission. Her ESR and CRP were
significantly elevated. A CT of the abdomen showed no abdominal
abnormalities however bilateral basilar lung opacities were noted. A
dedicated CT of the chest showed multifocal mixed ground glass and
consolidative airspace disease involving the bilateral upper and lower
lobes. SARS-CoV-2 NP PCR and serology were negative. Additional
infectious work-up included negative FRVP, fungal antibody panel,
histoplasma urine and blood antigens and legionella urine antigen. She
was empirically started on levofloxacin. She reported a history of
vaping over a year ago. Family reported that she may have been vaping
more recently. She was discharged as her clinical condition improved. No
relapsing disease was noted on her follow-up 2 weeks after discharge and
her chest X-ray findings resolved.