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A Man in His 20s With Diffuse Lung Opacities and Acute Respiratory Failure After Hookah Smoking

Mohleen Kang, MD; Vishal Raj, MD; Andrew R. Berman, MD
Author and Funding Information

aDepartment of Medicine, Rutgers New Jersey Medical School, Newark, NJ

bDivision of Pulmonary and Critical Care Medicine/Allergy and Immunologic Diseases, Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ

cDepartment of Pulmonary Medicine, Norton Community Hospital, Norton, VA

CORRESPONDENCE TO: Andrew Berman, MD, Division of Pulmonary and Critical Care Medicine/Allergy and Immunologic Diseases, Department of Medicine, Rutgers New Jersey Medical School, 150 Bergen St, Room I 354, Newark, NJ 07101


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(6):e175-e178. doi:10.1016/j.chest.2016.10.009
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A man in his 20s with no medical history presented with 2 days of progressively worsening shortness of breath accompanied by subjective fevers, chills, body aches, decreased appetite, night sweats, and cough producing nonbloody sputum. He denied childhood lung diseases, allergies, or a family history of lung disease. He did not smoke cigarettes but had smoked hookah in Saudi Arabia before moving to the United States 1 month before presentation and had restarted 2 days before the start of symptoms. He denied travel outside of the northeastern United States. He did not take medications, use illicit drugs, or engage in high-risk behavior.

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