Other cases of severe lung injury and respiratory problems associated with vapors have been reported across the country. Doctors and health officials are investigating cases in at least eight states: California, Illinois, Indiana, Iowa, Michigan, Minnesota, Ohio, and Wisconsin.
Doctors report to NBC News that most patients are otherwise healthy teens or young adults who come to the hospital with symptoms of poor respiratory infection: shortness of breath, chest pain, tiredness and coughing.
Your symptoms are getting worse, and many need to be ventilated.
"We go through the process of eliminating infections and other things that can cause inflammation in the lungs," Dr. Humberto Choi, pulmonologist and specialist in intensive care in Cleveland Clinic.
"Elimination leads to a history of vaping."
All patients reported either vaporizing nicotine, marijuana, or both before their symptoms appeared. But doctors still could not identify a specific device, brand, or ingredient that would bring all the cases together.
Choi has treated at least two such patients in his Ohio intensive care unit this week alone.
Earlier this week, Illinois reported six cases and Minnesota four.
On Thursday, the Wisconsin Department of Health updated the number of confirmed cases to 1
And suspected cases are also appearing in other states, possibly because awareness is spreading among physicians.
Message to Doctors and Health Professionals in Iowa to be on guard, "Dr. Caitlin Pedati, state epidemiologist and medical director of the Ministry of Health in Iowa.
Since then, a case in this state has been in progress.
Indiana's health authorities are also investigating six possible cases.
"We need to start collecting these cases and see what they have in common and what kind of patterns we can find," Choi said.
The Centers for Disease Control and Prevention claims to work with several states in the Midwest and California.
These are serious chemicals that are toxic to the lungs to tell NBC News that more and more cases have occurred recently, and some are quite serious. Some patients had bleeding in their lungs and needed life support.
"In the last few months, we've probably seen about a dozen in the hospital," Dr. Shelley Schmidt, Pulmonary Specialist at Spectrum Health in Grand Rapids, Michigan.
Similar to cases described by other physicians, patients with apparent pneumonia or a serious viral infection came to the hospital and were treated as such.
"But then they do not get better or they become worse despite therapy," said Schmidt. "And then you realize that this is something more than just an infection of the garden variety."
"When your lungs deteriorate and become inflamed, it becomes clear that it is an inhalation injury."
It would take months for them to recover, Schmidt said.
Your patients claimed to have evaporated nicotine and THC, the psychoactive ingredient in marijuana.
"This is not harmless water vapor," said Schmidt. "These are serious chemicals that are toxic to the lungs."
Pedati, who is also a pediatrician, said stopping vapors among young people was crucial.
"We still do not know how steaming will affect young people in the long run."  Follow NBC HEALTH on Twitter & Facebook.