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A 53-year-old, so far healthy woman was admitted to the emergency department due to increasing cough and dyspnoea. Four days before presentation, the general practitioner initiated an outpatient treatment with amoxicilin/clavulanic acid due to the clinical and radiological suspicion of a bilateral, community-acquired pneumonia. Apart from escitalopram and oestrogen containing hormone replacement therapy, she did not use any medication. She had no pets or humidifier and worked as a saleswoman in a gift shop.
Three weeks before admission, she switched from conventional cigarettes to commercial available electronic pipe (nicotine content 4 mg/mL, taste of pipe tobacco and refillable tank). She performed inhalations approximately 4–5 times per day. She denied using cannabinoid-containing liquids and was no dual user. Ten days after starting consuming the electronic pipe, the patient suffered from dry cough and dyspnoea when hurrying upstairs.
On admission, the …
Contributors A-CK collected the data; A-CK and YN-O wrote the article; CD made the Analysis of the lung biopsies.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement All data relevant to the study are included in the article.
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