An Uncommon Cause of Spontaneous Pneumomediastinum and Subcutaneous Emphysema

Edwards, Michael and Ramappa, Arun Jeenahalli An Uncommon Cause of Spontaneous Pneumomediastinum and Subcutaneous Emphysema. European Journal of Case Reports in Internal Medicine, 4 (4). ISSN 2284-2594


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A 79-year-old gentleman presented with spontaneous pneumomediastinum and subcutaneous emphysema with pneumonia but no pre-existing lung disease. He presented with a 4-day history of increased shortness of breath, pleuritic chest pain, fevers, and non-productive cough. After 4 days of intravenous antibiotics, the patient developed considerable subcutaneous emphysema and pneumomediastinum. Pneumomediastinum presents most commonly with chest pain, shortness of breath, and subcutaneous emphysema. It has previously been associated with cases of pneumonia but often with rare strains such as P. jirovecii pneumonia in immunocompromised patients. This case highlights spontaneous pneumomediastinum as a rare complication of pneumonia. Treatment of pneumomediastinum is typically conservative, and although options may be limited, aggressive management of any causative factor may be essential in selected cases.

Item Type: Article
Uncontrolled Keywords: pneumomediastinum; subcutaneous emphysema; pneumonia
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Michela Donatelli
Date Deposited: 27 Jun 2017 10:25
Last Modified: 27 Jun 2017 10:25

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