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Journal of Education, Health and Sport

Poisoning with e-cigarette liquid (VPG Power Smoke Baze) - case report
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  3. Vol. 50 No. 1 (2023) /
  4. Case Reports

Poisoning with e-cigarette liquid (VPG Power Smoke Baze) - case report

Authors

  • Marlena Zając 7 Szpital Marynarki Wojennej w Gdańsku https://orcid.org/0000-0002-6251-0175
  • Dariusz Gruca Wojskowy Szpital Kliniczny z Polikliniką SPZOZ w Lublinie https://orcid.org/0000-0002-5583-1229
  • Marcin Wais Wojskowy Szpital Kliniczny z Polikliniką SPZOZ w Lublinie https://orcid.org/0000-0003-4757-8582

DOI:

https://doi.org/10.12775/JEHS.2023.50.01.008

Keywords

e-liquid, poisoning, intoxication, nicotine, e-cigarettes

Abstract

Introduction and purpose: E-cigarettes have emerged as an alternative to traditional tobacco smoking. Toxicological studies have investigated the composition and potential toxicity
of e-cigarette liquid components. While they are generally considered less harmful than combustible cigarettes, cases of poisoning associated with e-cigarette liquid ingestion
or exposure have been reported.

Brief description of the state of knowledge:  Nicotine intoxication resulting from e-cigarette liquid ingestion can lead to a range of symptoms and complications, including cardiovascular effects, neurological symptoms, gastrointestinal disturbances, respiratory issues, and even death. This report presents a case of a 58-year-old woman hospitalized in the Toxicology and Cardiology Department due to poisoning with e-cigarette liquid.

Conclusions: Accidental or intentional ingestion and/or injection of e-liquid is becoming a new emerging challenge for Emergency Medicine, mainly because of the easy accessibility
of advertisements and the sales of e-cigarettes online, and the high nicotine concentration
in e-liquids. It is important to report instances of e-liquid-related nicotine intoxication in order to improve the legal restrictions on the sale of e-liquid.

References

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Jensen RP, Luo W, Pankow JF, Strongin RM, Peyton DH. Hidden formaldehyde in e-cigarette aerosols. N Engl J Med. 2015;372(4):392-394. doi:10.1056/NEJMc1413069

Hess CA, Olmedo P, Navas-Acien A, Goessler W, Cohen JE, Rule AM. E-cigarettes as a source of toxic and potentially carcinogenic metals. Environ Res. 2017;152:221-225. doi:10.1016/j.envres.2016.09.026

Gallaway MS, Glover-Kudon R, Johnson AC, et al. Notes from the field: calls to poison centers for exposures to electronic cigarettes—United States, September 2010–February 2014. MMWR Morb Mortal Wkly Rep. 2014;63(13):292-293.

Maessen GC, Wijnhoven AM, Neijzen RL, Paulus MC, van Heel DAM, Bomers BHA, Boersma LE, Konya B, van der Heyden MAG. Nicotine intoxication by e-cigarette liquids: a study of case reports and pathophysiology. Clin Toxicol (Phila). 2020 Jan;58(1):1-8. doi: 10.1080/15563650.2019.1636994. Epub 2019 Jul 9. PMID: 31286797.

Scarpino M, Rosso T, Lanzo G, Lolli F, Bonizzoli M, Lazzeri C, Mannaioni G, Baronti R, Fattapposta F, Grippo A. Severe neurological nicotine intoxication by e-cigarette liquids: Systematic literature review. Acta Neurol Scand. 2021 Feb;143(2):121-130. doi: 10.1111/ane.13338. Epub 2020 Sep 20. PMID: 32866996.

Scarpino M, Bonizzoli M, Lanzi C, Lanzo G, Lazzeri C, Cianchi G, Gambassi F, Lolli F, Grippo A. Brain death following ingestion of E-cigarette liquid nicotine refill solution. Brain Behav. 2020 Sep;10(9):e01744. doi: 10.1002/brb3.1744. Epub 2020 Jul 28. PMID: 32722878; PMCID: PMC7507521.

Ayesha Ahmed. (2022). A Review of Electronic Cigarettes and Liquid Nicotine Poisoning Exposure Cases in the United States: The health impact of the short-term exposure. Journal of Pharmacy & Pharmaceutical Sciences, 25, 354–368. https://doi.org/10.18433/jpps33141

Choi A, Le M, Rahim T, Rose C, Kosatsky T. Electronic cigarette exposures reported to the British Columbia Drug and Poison Information Centre: an observational case series. CMAJ Open. 2019 Jul 18;7(3):E462-E471. doi: 10.9778/cmajo.20180203. PMID: 31320329; PMCID: PMC6639097.

Driller G, Plasencia E, Apollonio DE. Retrospective review of nicotine exposures in California from 2012 to 2018 and analysis of the impacts of e-cigarette regulations. BMJ Open. 2021 Mar 2;11(3):e043133. doi: 10.1136/bmjopen-2020-043133. PMID: 33653751; PMCID: PMC7929887.

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Published

2023-12-31

How to Cite

1.
ZAJĄC, Marlena, GRUCA, Dariusz and WAIS, Marcin. Poisoning with e-cigarette liquid (VPG Power Smoke Baze) - case report. Journal of Education, Health and Sport. Online. 31 December 2023. Vol. 50, no. 1, pp. 107-116. [Accessed 13 May 2025]. DOI 10.12775/JEHS.2023.50.01.008.
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Issue

Vol. 50 No. 1 (2023)

Section

Case Reports

License

Copyright (c) 2023 Marlena Zając, Dariusz Gruca, Marcin Wais

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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