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Spontaneous Pneumothorax after Physical Exertion on Adolescets with Vaping History in Diponegoro National Hospital Semarang: A Case Report

Qonita Nur Qolby orcid  -  Department of Anatomy, Faculty of Medicine, Universitas Negeri Semarang, Indonesia, Indonesia
Muzaki Wilastono orcid  -  Medical Student in Faculty of Medicine, Universitas Negeri Semarang, Indonesia, Indonesia
Hanifa Amalia Balqis orcid  -  Diponegoro National Hospital, Semarang, Indonesia, Indonesia
Hadi Hadi orcid  -  Diponegoro National Hospital, Semarang, Indonesia, Indonesia
*Luqman Alwi orcid  -  Department of Anatomy, Faculty of Medicine, Universitas Negeri Semarang, Indonesia, Indonesia
Open Access Copyright (c) 2025 Diponegoro International Medical Journal
Creative Commons License This work is licensed under a Creative Commons Attribution 4.0 International License.

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Abstract

Background: Vaping is now a trend for a tobacco-smoking alternative. However, studies and regulations regarding the side effects of vaping are limited. Recently, vaping-associated spontaneous pneumothorax cases were reported. Pneumothorax, when air accumulates in the pleural cavity, could progress to an emergency case. It is rarely related to physical exercise.

Case Presentation: We found two spontaneous pneumothorax cases in Diponegoro National Hospital that presented with chest pain and cough post-exercise in vaping adolescents. The diagnosis was established based on medical history, physical examination, and chest X-ray. Both patients were treated with water-sealed drainage (WSD) and intensive care.

Conclusion: Pneumothorax is an important diagnosis to consider in vaping patients, resulting in long stay and high-cost hospitalization. Vaping-associated spontaneous pneumothorax cases in active adolescents should receive special attention for conducting electronic cigarette studies and regulations in Indonesia.

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Keywords: Electronic Cigarette; Exercise; Pneumothorax; Toxicology; Vaping

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