Discordant bilateral bronchoalveolar lavage findings in a patient with acute eosinophilic pneumonia associated with copyright tetrahydrocannabinol oil vaping

Discordant bilateral bronchoalveolar lavage findings in a patient with acute eosinophilic pneumonia associated with copyright tetrahydrocannabinol oil vaping

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Vaping has emerged as a popular alternative form of inhalation of nicotine and marihuana derivates (including Tetrahydrocannabinol, THC) in part due to the avoidance of combustion byproducts.Unfortunately, THC oil (especially that produced wilds of eldraine prerelease guide by unregulated individuals) may contain dilutants such as propylene glycol, vitamin E, and flavoring ingredients that can lead to adverse respiratory effects.Acute eosinophilic pneumonia (AEP) has been described in association with e-cigarette and vaping associated lung injury (EVALI) but the majority of bronchoalveolar lavage (BAL) click here samples reported in the literature do not show eosinophils as the predominant cell lineage.Only two other cases of AEP have been published, and here we present the first case reported in the literature of a patient with EVALI with AEP pattern associated with copyright tetrahydrocannabinol (THC) oil vaping and discordant bilateral BAL cell count differential.