42-year-old woman was admitted to the hospital
with a 7-month history of dyspnea, productive
cough, and subjective fevers. She had been seen multiple
times in the ED with similar complaints and had
received several courses of antibiotics.
The patient had recently started using electronic
cigarettes (e-cigarettes), about 7 months prior, which
coincided with the onset of her respiratory symptoms.
Her past medical history also was signifi cant for asthma,
reported rheumatoid arthritis, fi bromyalgia, schizoaffective
disorder, and hypertension. Her medications
included amlodipine, albuterol metered dose inhaler ,
lovastatin, lisinopril, multiple vitamins, cycloben zaprine,
citalopram, and multiple psychiatric medications.