Spontaneous subcutaneous emphysema and pneumomediastinum in a child with bronchial asthma

Nair, Bindu T; Surendran, Sajith; Brar, Tarikjot Singh

doi:10.4103/0331-3131.163333

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…is is consistent with earlier reports. [3,7] Okposio and Unior, [11] however, found elevated white cell count in their report. e index case had received 5 days of antibiotics before presentation with resolved pyrexia and this may have accounted for the absence of leukocytosis and negative blood culture.…”

Section: Discussionmentioning

confidence: 65%

“…[2] Subcutaneous emphysema is a complication of various medical conditions such as pneumonia, pertussis, bronchial asthma, foreign body aspiration, blunt and penetrating injury, post-thoracostomy, positive pressure ventilation, and oxygen administration. [3][4][5][6] However, it is a rare condition in children and requires a high index of suspicion to diagnose. e management is largely conservative and patients often recover without sequelae.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous subcutaneous emphysema in a male toddler in a health facility in Nasarawa state: A case report

Bello¹,

Umejiaku²,

Ogunkunle³

et al. 2021

JPATS

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Background: Spontaneous subcutaneous emphysema (SSE) is a clinical condition in which air escapes into the subcutaneous tissues. It is a rare complication of childhood pneumonia and often occurs with pneumothorax and/or pneumomediastinum. Although the sight of a child with SSE could be frightening, it is mostly benign requiring in most cases supportive care. We report a case of SSE complicating pneumonia in an 18-month-old toddler that was managed conservatively. Case Report: An 18-months-old toddler was admitted with a 5-day history of progressive swelling of the face, scalp, upper limbs, and trunk. He was referred from a peripheral hospital where he was admitted for 5 days with pneumonia and had received antibiotics, intravenous fluid, and oxygen therapy. Clinical evaluation revealed extensive subcutaneous emphysema and right-sided pneumothorax. Antibiotics were optimized and the patient was provided supportive care and monitored for 7 days with complete resolution of the emphysema. Conclusion: SSE could complicate childhood pneumonia but it has a benign course. Effective treatment of underlying pneumonia alongside supportive care will achieve complete resolution.

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Section: Discussionmentioning

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Spontaneous subcutaneous emphysema in a male toddler in a health facility in Nasarawa state: A case report

Bello¹,

Umejiaku²,

Ogunkunle³

et al. 2021

JPATS

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“…Hay otros casos aislados referidos como neumomediastino espontáneo, pero con historial de maniobras de Valsalva como desencadenantes (ejercicio intenso, extracción dental, jugar voleibol, crisis asmática, emesis de 5 días de evolución, exposición a un incendio, influenza, traqueomalacia), lo que los retira de la categoría 1,5,8,10,18,19,21,27,29 .…”

Section: Discussionunclassified

“…La evolución tiende a la resolución espontánea en 2 -15 días sólo con manejo conservador, salvo los casos que cursan con neumotórax (pueden tardar más tiempo y debe insistirse más en buscar una causa secundaria) y las recurrencias (ocurren en menos de 5%). Este abordaje consiste en reposo, analgesia y evitar maniobras que aumenten la presión pulmonar 16,23,26 ; un tratamiento complementario es la terapia con altas concentraciones de oxígeno, aunque no es indispensable si el paciente mantiene una adecuada oxigenación sin dificultad respiratoria 10,17,27 . Ocasionalmente se recomienda iniciar tratamiento antibiótico para evitar infecciones 11,12 .…”

Section: Introductionunclassified

Neumomediastino espontáneo idiopático. Primer caso pediátrico en Colombia

2019

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El neumomediastino espontáneo idiopático es la presencia de aire en el mediastino, sin ninguna causa aparente, siendo descrito en 1939 por el Dr. Hamman. Se atribuye a una fuga dinámica de aire desde los alvéolos a través del intersticio de personas jóvenes (efecto Macklin). La clínica no es específica, pero el dolor torácico agudo retroesternal y la tos, son los síntomas más orientativos; los signos más específicos son los crépitos precordiales (signo de Hamman) y el enfisema subcutáneo. La radiografía de tórax es suficiente para el diagnóstico, aunque otras técnicas de imagen sirven para evaluar causas secundarias. El tratamiento es reposo, analgésicos y, opcionalmente, oxígeno suplementario. Se presenta el caso de un niño en edad escolar con neumomediastino espontáneo sin ningún desencadenante identificable, siendo el primer caso pediátrico colombiano reportado de esta variante. MÉD.UIS.2019;32(2):47-52

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An unusual case of mediastinal mass in a child presenting with pneumomediastinum and air dissection in soft tissues

Deswal¹,

Goyal²,

Ojha³

2018

The Egyptian Journal of Radiology and Nuclear Medicine

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Spontaneous subcutaneous emphysema and pneumomediastinum in a child with bronchial asthma

Cited by 3 publications

References 2 publications

Spontaneous subcutaneous emphysema in a male toddler in a health facility in Nasarawa state: A case report

Spontaneous subcutaneous emphysema in a male toddler in a health facility in Nasarawa state: A case report

Neumomediastino espontáneo idiopático. Primer caso pediátrico en Colombia

An unusual case of mediastinal mass in a child presenting with pneumomediastinum and air dissection in soft tissues

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