An Imported Case Of E-Cigarette Or Vaping Associated Lung Injury In Barcelona

Very recently Layden et al. published the first series of 53 patients with acute lung injury associated with the use of e-cigarettes (also known as vaping) in Wisconsin and Illinois (USA) [1]. To our knowledge, only a few cases of e-cigarette, or vaping, associated lung injury (EVALI) have been reported outside the USA (in Canada and Japan) and, so far, none in Europe [2]. Here we present the case of a 31-year-old woman who lived Chicago (Illinois, USA) and arrived in Barcelona (Spain) on vacation from on September 17, 2019 and, as detailed below, suffered EVALI. To our knowledge, this is the first case of EVALI reported in Europe and, given the current world globalisation that allows individuals to travel to other countries easily, highlights the need of being aware of the possibility of encountering, thus diagnosing and treating, a case of vaping-induced acute lung injury outside the US. Footnotes This manuscript has recently been accepted for publication in the European Respiratory Journal . It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article. Conflict of interest: Dr. Casanova has nothing to disclose. Conflict of interest: Dr. Amaro has nothing to disclose. Conflict of interest: Dr. Soler has nothing to disclose. Conflict of interest: Dr. Sanchez has nothing to disclose. Conflict of interest: Dr. Badia has nothing to disclose. Conflict of interest: Dr. Barbera has nothing to disclose. Conflict of interest: Dr. Agusti has nothing to disclose.