Spontaneous Cervical and Mediastinal Air Emphysema After Ecstasy Abuse

Badaoui, R.; Kettani, Chafik El; Fikri, Muhammad; Ouendo, Martial; Canova-Bartoli, P.; Ossart, M

doi:10.1097/00000539-200210000-00071

Cited by 11 publications

(7 citation statements)

References 6 publications

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“…SPM has also been seen in illicit drug users, specifically in those who had used inhalational drugs, 14,15 but more recently it has been seen in those using speed (methylene-dioxyamphetamine) or ecstasy (methylene-dioxy-metamphetamine). 16,17 In those patients using inhalational drugs, the etiology of this is thought to be that of prolonged forceful breath holding, while in those who use ecstasy or speed it is thought that the high levels of physical exertion and decreased interstitial pressure result in the pressure gradient needed for rupture of the alveoli. Currently, there appears to be no evidence to support a direct pharmacologic effect.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumomediastinum

Newcomb

Clarke

2005

Chest

192

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Section: Discussionmentioning

confidence: 99%

Spontaneous Pneumomediastinum

Newcomb

Clarke

2005

Chest

192

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“…Some authors also classified it as tuberculous and nontuberculous etiologies [13]. Many of the case reports available in the literature describe secondary subcutaneous emphysema [1,5,14,15], and, to our knowledge, only a few describe idiopathic subcutaneous emphysema [9,16].…”

Section: Discussionmentioning

confidence: 99%

A Young Healthy Male with Spontaneous Subcutaneous Emphysema Occurring in Neck, Retropharyngeal and Mediastinal Spaces

Malas

Fatani

Aljuhani

2020

Case Reports in Otolaryngology

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We present a case of spontaneous cervical, retropharyngeal, and mediastinal emphysema occurring in a previously healthy young male, which is the first described case in Saudi Arabia. The patient was admitted to the ward for observation, monitoring of vital signs, analgesia, and prophylactic antibiotics. The patient was kept under observation for 8 days. During that time, neck pain improved gradually with no episodes of oxygen desaturation or vital sign deterioration. The patient was later discharged with very mild persistent pain. Two weeks after discharge, patient was seen in outpatient clinic and was free of symptoms. Spontaneous subcutaneous emphysema remains a rare presentation encountered in emergency department. The investigations and treatment required for such patients has no consensus between authors. Although most of the reported cases described an uncomplicated course, there is a need for clear guidelines on management protocol.

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“…They often show subcutaneous emphysema [3, 8, 10, 12] and may suggest pneumomediastinum [7–9, 13–15]. They also reveal any related pneumothoraces [3, 5, 15].…”

Section: Discussionmentioning

confidence: 99%

“…They also reveal any related pneumothoraces [3, 5, 15]. Computed tomography (CT) helps identify and quantify pneumomediastinum and pneumothoraces [5–7, 10, 12]. …”

Section: Discussionmentioning

confidence: 99%

Extensive Subcutaneous Emphysema and Pneumomediastinum after Ecstasy Ingestion

Gungadeen

Moor

2013

Case Reports in Otolaryngology

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Objective. To present a rare case of extensive subcutaneous emphysema and spontaneous pneumomediastinum following ingestion of Ecstasy in a young adult. We also review the relevant literature and discuss how this case supplements it. Case Report. We report a case of a 19-year-old man with a history of painless neck and chest swelling, and no chest pain or breathlessness, after consuming Ecstasy tablets. Radiological imaging showed evidence of pneumomediastinum and extensive subcutaneous emphysema. The patient remained well under observation and his symptoms improved with conservative management. Conclusions. Subcutaneous emphysema and pneumomediastinum after Ecstasy ingestion is uncommon. Cases are often referred to the otolaryngologist as they can present with neck and throat symptoms. Our case showed that the severity of symptoms may not correlate with severity of the anatomical abnormality and that pneumomediastinum should be suspected in Ecstasy users who present with neck swelling despite the absence of chest symptoms. Although all cases reported so far resolved with conservative management, it is important to perform simple investigations to exclude coexisting serious pathology.

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Spontaneous Cervical and Mediastinal Air Emphysema After Ecstasy Abuse

Cited by 11 publications

References 6 publications

Spontaneous Pneumomediastinum

Spontaneous Pneumomediastinum

A Young Healthy Male with Spontaneous Subcutaneous Emphysema Occurring in Neck, Retropharyngeal and Mediastinal Spaces

Extensive Subcutaneous Emphysema and Pneumomediastinum after Ecstasy Ingestion

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