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A large number of identified cases report obtaining their vape fluid either from friends, family or from black market dealers, which has contributed to the difficulties in identifying a single cause of the outbreak.2 Advertisement Initial symptoms may be nonspecific, including fever, malaise, abdominal pain and diarrhea.3 The majority of patients will also develop respiratory symptoms, though these may not present until later in the disease course

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doi: 10.1111/rego.12251 15