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However, it can be much harder to treat when it spreads to the lymph nodes and other parts of the doctor

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The criteria used for a case definition of EVALI (See Table 1) include 1) use of an e-cigarette or related product within 90 days, 2) lung opacities on chest imaging, 3) exclusion of lung infection including viral polymerase chain reaction, basic urine antigen tests for Legionella and Streptococcus pneumoniae , blood cultures, and sputum culture, and 4) absence of a likely alternative diagnosis such as cardiac or neoplastic conditions [34]

Second-hand smoke is also known to damage the walls of the air sacs (alveoli), which eventually impairs the ability of the lungs to supply oxygen to the blood