PDF(Pubmed)
Abstract：
Midwakh is one of the most used alternative tobacco products (ATPs) in the UAE, particularly among adolescents. We report a 14-year-old adolescent male, who presented with acute lung injury within 24 hours following the first attempt at Midwakh smoking. A high-resolution computerized tomogram of the chest (HRCT) showed bilateral interstitial pneumonia and patchy consolidation. Flexible bronchoscopy revealed bilateral petechial haemorrhages with oedematous bronchial walls. Mechanical ventilation was required for two weeks. The criteria for moderate acute respiratory distress syndrome (ARDS) were met, and a good response was achieved to a high dose of steroids, and ultra-protective mechanical ventilation with the prone position. Significant clinical and radiological recovery was achieved at three months. As per the literature reviewed, this is the first case of Midwakh-associated acute lung injury reported to date. We emphasize that physicians should be well informed about the use of ATPs and their potential severe complications.
摘要：
Midwakh是阿联酋最常用的替代烟草产品（ATPs）之一，尤其是在青少年中。我们报道了一名14岁的青少年男性，首次尝试Midwakh吸烟后24小时内出现急性肺损伤。胸部高分辨率计算机断层扫描（HRCT）显示双侧间质性肺炎和斑片状巩固。柔性支气管镜检查显示双侧瘀点出血伴水肿支气管壁。需要机械通气两周。符合中度急性呼吸窘迫综合征（ARDS）的标准，对高剂量的类固醇有很好的反应，和超保护性机械通风与俯卧位。在三个月时实现了显着的临床和放射学恢复。根据文献综述，这是迄今为止报道的首例Midwakh相关急性肺损伤病例.我们强调，医生应充分了解ATPs的使用及其潜在的严重并发症。
