Electronic Vaping-Induced Methicillin-Sensitive Staphylococcus Aureus Pneumonia and Empyema

Pneumonia is a severe acute inflammation of the lower respiratory tract due to infectious pathogens. Pathogens responsible include bacteria, viruses, fungi, and parasites. Pneumonia categorizations include community-acquired pneumonia (CAP), hospital-acquired pneumonia, and ventilator-associated pne...

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Main Authors: Sachin M. Patil, Phillip Paul Beck, Tarang Pankaj Patel, Richard Dale Swaney, Dima Dandachi, Armin Krvavac
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2021/6651430
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author Sachin M. Patil
Phillip Paul Beck
Tarang Pankaj Patel
Richard Dale Swaney
Dima Dandachi
Armin Krvavac
author_facet Sachin M. Patil
Phillip Paul Beck
Tarang Pankaj Patel
Richard Dale Swaney
Dima Dandachi
Armin Krvavac
author_sort Sachin M. Patil
collection DOAJ
description Pneumonia is a severe acute inflammation of the lower respiratory tract due to infectious pathogens. Pathogens responsible include bacteria, viruses, fungi, and parasites. Pneumonia categorizations include community-acquired pneumonia (CAP), hospital-acquired pneumonia, and ventilator-associated pneumonia. It is the single most common cause of infection-related mortality in the United States. Among the typical bacterial CAP causes, Staphylococcus aureus (S. aureus) is responsible for less than 5% of all cases. Among the S. aureus, methicillin-susceptible S. aureus (MSSA) is slightly more common than the methicillin-resistant S. aureus (MRSA). CAP caused by S. aureus is associated with worse clinical outcomes compared to streptococcal pneumoniae. Although S. aureus CAP occurs throughout the year, it is less common except during the influenza season when there is a spike. Multiple studies have stratified risk factors for MRSA infection. MSSA pneumonia in immunocompetent young patients is uncommon due to healthy host defense mechanisms. However, certain individual risk factors promote infection, such as intravenous drug abuse. Recent multiple research studies implicate increased virulence of S. aureus in colonized patients after exposure to electronic cigarette vapor exposure (ECVE), resulting in pneumonia. A PubMed search revealed no MSSA community-acquired bacterial pneumonia due to ECVE. We report a 38-year-old female who developed acute MSSA pneumonia, which was complicated by left empyema due to ECVE from JUUL device with third-party compatible cannabidiol pods. The patient completed treatment successfully with a chest tube placement followed by fibrinolysis and intravenous antibiotics.
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spelling doaj-art-b41b5ef9bb264e8ebe66de213b83f2b82025-02-03T05:44:12ZengWileyCase Reports in Infectious Diseases2090-66252090-66332021-01-01202110.1155/2021/66514306651430Electronic Vaping-Induced Methicillin-Sensitive Staphylococcus Aureus Pneumonia and EmpyemaSachin M. Patil0Phillip Paul Beck1Tarang Pankaj Patel2Richard Dale Swaney3Dima Dandachi4Armin Krvavac5Department of Medicine, Division of Infectious Disease, University of Missouri Hospital and Clinic, 1 Hospital Dr, Columbia, MO 65212, USADepartment of Medicine, Division of Infectious Disease, University of Missouri Hospital and Clinic, 1 Hospital Dr, Columbia, MO 65212, USADepartment of Medicine, Division of Pulmonary, Critical Care and Environmental Medicine, University of Missouri Hospital and Clinic, 1 Hospital Dr, Columbia, MO 65212, USADepartment of Medicine, PGY3 Internal Medicine Resident, University of Missouri Hospital and Clinic, 1 Hospital Dr, Columbia, MO 65212, USADepartment of Medicine, Division of Infectious Disease, University of Missouri Hospital and Clinic, 1 Hospital Dr, Columbia, MO 65212, USADepartment of Medicine, Division of Pulmonary, Critical Care and Environmental Medicine, University of Missouri Hospital and Clinic, 1 Hospital Dr, Columbia, MO 65212, USAPneumonia is a severe acute inflammation of the lower respiratory tract due to infectious pathogens. Pathogens responsible include bacteria, viruses, fungi, and parasites. Pneumonia categorizations include community-acquired pneumonia (CAP), hospital-acquired pneumonia, and ventilator-associated pneumonia. It is the single most common cause of infection-related mortality in the United States. Among the typical bacterial CAP causes, Staphylococcus aureus (S. aureus) is responsible for less than 5% of all cases. Among the S. aureus, methicillin-susceptible S. aureus (MSSA) is slightly more common than the methicillin-resistant S. aureus (MRSA). CAP caused by S. aureus is associated with worse clinical outcomes compared to streptococcal pneumoniae. Although S. aureus CAP occurs throughout the year, it is less common except during the influenza season when there is a spike. Multiple studies have stratified risk factors for MRSA infection. MSSA pneumonia in immunocompetent young patients is uncommon due to healthy host defense mechanisms. However, certain individual risk factors promote infection, such as intravenous drug abuse. Recent multiple research studies implicate increased virulence of S. aureus in colonized patients after exposure to electronic cigarette vapor exposure (ECVE), resulting in pneumonia. A PubMed search revealed no MSSA community-acquired bacterial pneumonia due to ECVE. We report a 38-year-old female who developed acute MSSA pneumonia, which was complicated by left empyema due to ECVE from JUUL device with third-party compatible cannabidiol pods. The patient completed treatment successfully with a chest tube placement followed by fibrinolysis and intravenous antibiotics.http://dx.doi.org/10.1155/2021/6651430
spellingShingle Sachin M. Patil
Phillip Paul Beck
Tarang Pankaj Patel
Richard Dale Swaney
Dima Dandachi
Armin Krvavac
Electronic Vaping-Induced Methicillin-Sensitive Staphylococcus Aureus Pneumonia and Empyema
Case Reports in Infectious Diseases
title Electronic Vaping-Induced Methicillin-Sensitive Staphylococcus Aureus Pneumonia and Empyema
title_full Electronic Vaping-Induced Methicillin-Sensitive Staphylococcus Aureus Pneumonia and Empyema
title_fullStr Electronic Vaping-Induced Methicillin-Sensitive Staphylococcus Aureus Pneumonia and Empyema
title_full_unstemmed Electronic Vaping-Induced Methicillin-Sensitive Staphylococcus Aureus Pneumonia and Empyema
title_short Electronic Vaping-Induced Methicillin-Sensitive Staphylococcus Aureus Pneumonia and Empyema
title_sort electronic vaping induced methicillin sensitive staphylococcus aureus pneumonia and empyema
url http://dx.doi.org/10.1155/2021/6651430
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