Severe Necrotizing Pneumonia and Persistent Bacteremia in a Teenager with a History of Vaping

A 15-year-old previously healthy male with a history of vaping and electronic cigarette (e-cigarette) use was hospitalized due to worsening breathing difficulty and hypoxemia. He had tested positive for influenza B a few days earlier but his condition acutely worsened despite symptomatic management. During hospitalization, he required intensive care management of acute hypoxic respiratory failure secondary to a necrotizing pneumonia with bilevel positive airway pressure (BiPAP) support and broad-spectrum …