Fatal e-cigarette or vaping product use-associated lung injury secondary to streptococcus constellatus empyema
Streptococcus constellatus empyema in e-cigarette or vaping product use-associated lung injury can be fatal. Empyema as a presentation of e-cigarette or vaping product use-associated lung injury (EVALI) is rarely reported. Streptococcus constellatus is a known causative pathogen in empyema, but is u...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | en |
| Published: |
Oman Medical Specialty Board
2025
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| Subjects: | |
| Online Access: | https://eprints.ums.edu.my/id/eprint/44607/1/FULL%20TEXT.pdf https://eprints.ums.edu.my/id/eprint/44607/ |
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| Summary: | Streptococcus constellatus empyema in e-cigarette or vaping product use-associated lung injury can be fatal. Empyema as a presentation of e-cigarette or vaping product use-associated lung injury (EVALI) is rarely reported. Streptococcus constellatus is a known causative pathogen in empyema, but is usually associated with the elderly and immunocompromised states. A 13-year-old male with a history of active e-cigarette use presented to our centre with right lung empyema, which was complicated by suspected bronchopleural fistula. Despite a chest drain, antibiotics, inotropic and ventilatory support, he eventually succumbed to his illness. This case highlights a rarely reported severe complication of EVALI. Clinicians should be alert to the history of e-cigarette use in patients presenting with unexplained empyema. |
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