DENVER, March 9, 2020: The Colorado Department of Public Health and Environment’s (CDPHE) state lab identified one presumptive positive case of COVID-19, based on overnight testing. The state completed tests on 20 specimens that fit testing criteria.
The patient is a female in her 50s from Larimer County who has been diagnosed with pneumonia. CDPHE and local health agencies are working to gather more information, and contact any individuals who have had close contact with the patient. The investigation is just beginning and more information will be released as it becomes available.
Se registra un nuevo presunto caso de COVID-19 en Colorado
DENVER, Marzo 9, 2020: El laboratorio del Departamento de Salud y Medioambiente de Colorado (CDPHE) identificó un nuevo presunto caso de COVID-19, basado en un examen llevado a cabo en las últimas 24 horas. El estado completó 20 exámenes que cumplen con el criterio para llevar a cabo las pruebas.
La paciente es una mujer de alrededor de 50 años de edad del Condado Larimer quien ha sido diagnosticada con neumonía. CDPHE y las agencias locales de salud están trabajando para recabar más información y contactar a cualquier individuo que ha estado en contacto con la paciente. La investigación está en curso y más información será publicada tan pronto se encuentre disponible.
Washington, DC—Diagnosing EVALI—the e-cigarette, or vaping, product use associated lung injury illness that’s recently garnered national attention—can be challenging. Initial symptoms may resemble pneumonia or go unrecognized, according to case analysis in the Journal of the American College of Emergency Physicians (JACEP) Open, a new open access journal.
“Electronic cigarettes and vaping products are sending thousands of smokers, especially teens, to emergency departments,” said Kaitlyn Works, MD, an emergency physician with Vanderbilt University Medical Center and lead study author. “We must be crystal clear with young people: E-cigarettes and vaping products are not a healthy alternative to smoking. They can be dangerous, cause injuries and illnesses, or even death.”
The analysis, “E-cigarette, or vaping, product use associated lung injury (EVALI): a case report of a pneumonia mimic with severe leukocytosis and weight loss,” details the case of a 20-year-old male with no significant medical history who was hospitalized for four days then left against medical advice, only to return to the emergency department for chest pain, fever and shortness of breath. For two weeks leading up to his emergency, he had a productive cough, fever, diarrhea, nausea and significant weight loss.
“This flu season we are seeing an additional layer of complexity—EVALI symptoms may resemble pneumonia and become more dangerous or deadly when left untreated,” Dr. Works said. “A patient with EVALI may have symptoms that vary and overlap with many illnesses, making it more complicated to diagnose.”
Accurate diagnoses typically include the ruling out of other infections, autoimmune disorders or other conditions. In this case, negative tests were returned for strep, HIV, hepatitis and other diseases. A camera was inserted through the patient’s airway to examine the lungs and a pulmonary consultation and CT scan confirmed EVALI.
The authors also note that nearly one-third of EVALI patients require intubation and mechanical breathing help.
As of January 2020, a total of 2,602 hospitalized EVALI cases have been reported in all 50 states, DC, Puerto Rico and U.S. Virgin Islands. Fifty-seven deaths have been confirmed.
CDC has identified vitamin E acetate, a thickening agent in many e-cigarette or vaping products with THC as a “chemical of concern” among EVALI cases. CDC recommends that people do not use e-cigarette or vaping products with THC.
“The simplest way to avoid EVALI is to avoid these products,” Dr. Works said.
The Journal of the American College of Emergency Physicians (JACEP) Open is the official open access journal from the American College of Emergency Physicians (ACEP). JACEP Open delivers high-quality, peer-reviewed research in an open access format and joins Annals of Emergency Medicine as the leading sources of original research, case studies, clinical reports and perspectives dedicated specifically to emergency medicine and related topics. For more information, visit www.JACEPOpen.com.
The American College of Emergency Physicians (ACEP) is the national medical society representing emergency medicine. Through continuing education, research, public education and advocacy, ACEP advances emergency care on behalf of its 40,000 emergency physician members, and the more than 150 million Americans they treat on an annual basis. For more information, visit www.acep.org.
For further information: Steve Arnoff | | Twitter: @EmergencyDocs
