Abstract
BackgroundPrimary spontaneous pneumothorax is a common disorder occurring in young adults without underlying lung disease. Although tobacco smoking is a well-documented risk factor for spontaneous pneumothorax, an association between electronic cigarette use (that is, vaping) and spontaneous pneumothorax has not been noted. We report a case of spontaneous pneumothoraces correlated with vaping.Case presentationAn 18-year-old Caucasian man presented twice with recurrent right-sided spontaneous pneumothoraces within 2 weeks. He reported a history of vaping just prior to both episodes. Diagnostic testing was notable for a right-sided spontaneous pneumothorax on chest X-ray and computed tomography scan. His symptoms improved following insertion of a chest tube and drainage of air on each occasion. In the 2-week follow-up visit for the recurrent episode, he was asymptomatic and reported that he was no longer using electronic cigarettes.ConclusionsProviders and patients should be aware of the potential risk of spontaneous pneumothorax associated with electronic cigarettes.
Highlights
Primary spontaneous pneumothorax is a common disorder occurring in young adults without underlying lung disease
Risk factors that contribute to the development of spontaneous pneumothorax include tobacco smoking, age, thin stature, and male sex
Gender, tobacco smoking habits, pneumothorax size, low body mass index (BMI), and treatment modality have been suggested to contribute to recurrent spontaneous pneumothoraces [4, 6]
Summary
Primary spontaneous pneumothorax is a common disorder occurring in young adults without underlying lung disease. Upon being admitted for recurrent spontaneous pneumothoraces, he reported daily vaping after discharge, but no fever, chills, hemoptysis, cough, Table 1 Laboratory examination for the both admissions BUN blood urea nitrogen, pCO2 partial pressure of carbon dioxide, SGOT serum glutamic oxaloacetic transaminase, SGPT serum glutamic pyruvic transaminase upper respiratory infection (URI) symptoms, trauma, or recent airplane travel.
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