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Research reported in this publication was supported by a grant from the National Institute on Drug Abuse, part of the National Institutes of Health (NIH), and the Food and Drug Administration, Center for Tobacco Products

Common differentials include: Organophosphate or insecticide poisoning Strychnine toxicity Chocolate ingestion Mold or spoiled food ingestion This is why identifying exposure is so important

Another school of thought suggests possible chemical alterations of the surfactant phospholipid composition and structure due to interactions with gaseous components from cigarette smoke 69,70

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Cigarette smoking also significantly contributes to cardiovascular morbidity and mortality