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EVALI: A Mimicker of COVID-19 - PubMed

Case Reports

EVALI: A Mimicker of COVID-19

Mitchell M Pitlick et al. Mayo Clin Proc Innov Qual Outcomes. 2021 Jun.

Abstract

E-cigarette or vaping product use-associated lung injury (EVALI) is a respiratory illness that has significant overlap with the symptoms of coronavirus disease 2019 (COVID-19). In the current pandemic, diagnosis of EVALI may be delayed because of anchoring bias when patients present with symptoms consistent with COVID-19. We present 3 cases of patients who were hospitalized with a presumed diagnosis of COVID-19 but were later diagnosed with EVALI.

Keywords: COVID-19, coronavirus disease 2019; CRP, C-reactive protein; CT, computed tomography; EVALI, e-cigarette or vaping product use–associated lung injury; IV, intravenous; PCR, polymerase chain reaction; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.

© 2021 The Authors.

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Figures

Figure 1
Figure 1

Computed tomography scan from case 1 demonstrating bilateral ill-defined ground-glass opacities with a midlung predominance and interlobular septal thickening.

Figure 2
Figure 2

Computed tomography scan from case 2 showing extensive bilateral ground-glass opacities with a predominantly central distribution.

Figure 3
Figure 3

Computed tomography scan from case 3 showing diffuse bilateral ground-glass opacities with subpleural sparing.

Figure 4
Figure 4

Computed tomography scan from a patient with COVID-19 demonstrating multifocal peripheral ground-glass opacities with central sparing.

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References

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