{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T11:51:29Z","timestamp":1787226689536,"version":"build-2736575974"},"reference-count":6,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,30]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>SARS-CoV-2, the novel coronavirus causing COVID-19, has caused a global pandemic resulting in over 4 million deaths globally (data current as of 14 July 2021). E-cigarette or vaping product use-associated lung injury (EVALI) is a type of acute lung injury of unclear pathogenesis. The two pathologies present with overlapping clinical symptoms, laboratory values and imaging, making them difficult to distinguish, especially in the setting of a global COVID-19 pandemic. We present the case of a 32-year-old woman treated for COVID-19 despite multiple negative SARS CoV-2 PCR tests and nucleocapsid antibody test. On further investigation, she endorsed use of E-cigarettes and was subsequently diagnosed with EVALI. The patient was treated with oral and intravenous steroids, resulting in significant improvement in her symptoms. This case highlights the challenge of diagnosing rarer aetiologies of respiratory distress during the COVID-19 pandemic.<\/jats:p>","DOI":"10.1136\/bcr-2021-243885","type":"journal-article","created":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T13:34:26Z","timestamp":1627047266000},"page":"e243885","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["E-cigarette or vaping product use-associated lung injury (EVALI) masquerading as COVID-19"],"prefix":"10.1136","volume":"14","author":[{"given":"Nandita","family":"Ganne","sequence":"first","affiliation":[{"name":"Family Medicine, Mayo Clinic Health System, La Crosse, Wisconsin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3319-9565","authenticated-orcid":false,"given":"Raj","family":"Palraj","sequence":"additional","affiliation":[{"name":"Infectious Disease, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Husted","sequence":"additional","affiliation":[{"name":"Family Medicine, Mayo Clinic Health System, La Crosse, Wisconsin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishan","family":"Shah","sequence":"additional","affiliation":[{"name":"Family Medicine, Mayo Clinic Health System, La Crosse, Wisconsin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,23]]},"reference":[{"key":"2025082709282642000_14.7.e243885.1","unstructured":"Who.int . Weekly epidemiological update, 2021. Available: https:\/\/www.who.int\/publications\/m\/item\/weekly-epidemiological-update-1-december-2020"},{"key":"2025082709282642000_14.7.e243885.2","unstructured":"covid.cdc.gov [Internet] . United States COVID-19 cases and deaths by state, c2021. Available: https:\/\/covid.cdc.gov\/covid-data-tracker\/#cases_casesper100klast7days"},{"key":"2025082709282642000_14.7.e243885.3","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1016\/S2213-2600(20)30450-1","article-title":"Diagnosis of EVALI in the COVID-19 era","volume":"8","author":"Kazachkov","year":"2020","journal-title":"Lancet Respir Med"},{"key":"2025082709282642000_14.7.e243885.4","unstructured":"Hollingsworth H . E-cigarette or vaping product use associated lung injury (EVALI), 2021. UpToDate [Internet]. Available: https:\/\/www.uptodate.com\/contents\/e-cigarette-or-vaping-product-use-associated-lung-injury-evali?search=evali&source=search_result&selectedTitle=1~10&usage_type=default&display_rank=1"},{"key":"2025082709282642000_14.7.e243885.5","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.jadohealth.2020.07.002","article-title":"Association between youth smoking, electronic cigarette use, and COVID-19","volume":"67","author":"Gaiha","year":"2020","journal-title":"J Adolesc Health"},{"key":"2025082709282642000_14.7.e243885.6","doi-asserted-by":"crossref","first-page":"2034","DOI":"10.1016\/j.chest.2020.06.029","article-title":"Diagnosing EVALI in the time of COVID-19","volume":"158","author":"Callahan","year":"2020","journal-title":"Chest"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-243885","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:28:36Z","timestamp":1756312116000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-243885"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":6,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,23]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bcr-2021-243885"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-243885","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}