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Amid vaping crisis, U.S. to issue a new lawyer's advice for doctors on lung infections



CHICAGO (Reuters) – U.S. Pat. health officials are preparing to release their vaping history.

Jeffrey Manzanares, 33, read the intensive care unit of the University of Utah Hospital while being treated for vaping injury and other lung infections in Salt Lake City, Utah, U.S.A. Courtesy of Marisela Trujillo via REUTERS

The updated guidance will also advise physicians on how to diagnose and manage patients.

Dr. Ram Koppaka, a medical officer with the Centers for Disease Control and Prevention (CDC), said doctors need to be aware that there is an overlap between the early symptoms of vaping and common respiratory infections.

The CDC has already recommended doctors start treating their vaping history during routine visits, but gathering that information is especially important.

"Both diagnoses must be evaluated," Koppaka said in a phone interview.

The CDC reported on Thursday as of Oct. 8, 1,299 people in the United States have had confirmed or probable cases of lung injury, and 26 have died.

Doctors in a nurse's office looking at a patient's treatment for a flu and other respiratory ailments.

The early symptoms of vaping injury include shortness of breath, cough, chest pain, fever, and in some cases, gastrointestinal symptoms such as nausea, vomiting and diarrhea. "All of those can be seen with influenza," Koppaka said.

In the United States, river activity starts to pick up in October and November and peaks between December and February.

"Koppaka said." That's not all. "

As many as 72% of the earliest vaping patients in Illinois and Wisconsin sought medical treatment in outpatient clinics and emergency rooms of Medicine.

Most of those patients were initially given antibiotics. When those failed, many responded to treatment with supplemental oxygen and steroids.

'ENDED UP IN AGONY'

In addition to flu, many respiratory infections, including fungal infections, could cause confounding and delaying vaccination.

The University of Utah Hospital in Salt Lake City has treated 22 patients with vascular injuries, including Jeffrey Manzanares, 33, who was infected with a cold and human metapneumovirus that led to pneumonia.

Manzanares first sought treatment at a local hospital on Sept. 3, where he was given an antibiotic and oxygen for his pneumonia and sent home, his injury inactivated, said in a phone interview.

"I ended up in agony from the paint of oxygen. It felt like something stabbing a knife into my whole body, "he said.

He went to the University of Utah Hospital the next day, where he spent 21 days, including 17 in intensive care. During his illness, Manzanares said he lost 50 pounds (22.7 kg), a third of his normal body weight.

"Hey what's sick," Dr. Scott Aberegg, a pulmonologist who treated Manzanares.

Aberegg participated in a conference earlier this month with other doctors advising the CDC on how clinicians should diagnose and manage vaping patients ,

He said many doctors who are getting a positive flu test may just assume the patient has a fluent blood flow.

State health officials are on alert.

"Dr. med.", 1965, "We want to investigate all cases, and we are sure we can not do anything about it. Pam Pontones, Indiana's deputy health commissioner and state epidemiologist, said in a phone interview.

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Influenza can be deadly in people who have other underlying illnesses.

"It's really important that anyone, especially people who have underlying pulmonary infections of any kind, be vaccinated for influenza," Pontones said.

The CDC recommends everyone over the age of six get a flu shot.

Reporting by Julie Steenhuysen; Editing by Bill Berkrot

Our Standards: The Thomson Reuters Trust Principles.

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