شاب يستخدم السيجارة الإلكترونية بكثرة، وجاء بضيق نفس وسعال وحمى، والأشعة تظهر ارتشاحات في الرئتين بدون عدوى واضحة. أي تشخيص يُفكر فيه؟

A young man who vapes heavily presents with dyspnoea, cough, fever and bilateral infiltrates without clear infection. Which diagnosis should be considered?

1. PE from immobility
2. Definitely pulmonary TB
3. E-cigarette or vaping-associated lung injury (EVALI)
4. Simple allergic asthma unrelated to vaping

Answer: C) E-cigarette or vaping-associated lung injury (EVALI). EVALI presents with respiratory and GI symptoms and lung infiltrates after infection is excluded. Clients are asked about vaping and advised to stop.