Pneumorrhachis and spontaneous pneumomediastinum associated with asthmatic crisis in adults
Abstract
A case report: Pneumomediastinum is the most common form of air leak syndrome in asthmatic crisis and is usually benign in nature. Pneumorrhachis is a complication that is rarely described in the literature. We present the clinical case of a 35-year-old patient with intermittent asthma who was admitted to the Intensive Care Unit due to a severe bronchoobstructive crisis, cervical subcutaneous emphysema, and anterior chest wall emphysema. Chest computed tomography revealed extensive pneumomediastinum and pneumorrhachis Pneumothorax or hemodynamic compromise due to the crisis was not documented. The patient showed a satisfactory outcome with invasive mechanical ventilation, bronchodilators, and systemic corticosteroids.
References
2) Newcomb AE, Clarke CP. Spontaneous pneumomediastinum: a benign curiosity or a significant problem? Chest 2005; 128(5):3298-302. doi: 10.1378/chest.128.5.3298.
3) Mohamed W, Exley C, Sutcliffe I, Dwarakanath A. Spontaneous pneumomediastinum (Hamman’s syndrome): presenting as acute severe asthma. J R Coll Physicians Edinb 2019; 49(1):31-3. doi: 10.4997/JRCPE.2019.106.
4) Álvarez C, Jadue A, Rojas F, Cerda C, Ramírez M, Cornejo C. Neumomediastino espontáneo (síndrome de Hamman): una enfermedad benigna mal diagnosticada. Rev Méd Chile 2009; 137(8):1045-50. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800007&lng=es&nrm=iso. [Consulta: 24 setiembre 2022].
5) Oertel MF, Korinth MC, Reinges MH, Krings T, Terbeck S, Gilsbach JM. Pathogenesis, diagnosis and management of pneumorrhachis. Eur Spine J 2006; 15(Suppl 5):S636-S643. doi: 10.1007/s00586-006-0160-6.
6) Patel V, Raval G, Gavadia K. Pneumothorax, pneumomediastinum, subcutaneous emphysema and pneumorrhachis as complications of common flu. Am J Case Rep 2012; 13:198-201. doi: 10.12659/AJCR.883332.
7) Lazo M, Clavijo R, Zunino C. Síndrome de Hamman. A propósito de un caso. Arch Pediatr Urug 2022; 93(1):e304. Disponible en http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-12492022000101304&lng=es&nrm=iso. [Consulta: 26 octubre 2022].
8) Fernández A, Silvariño R, Carissi J, Otero E, Zubiaurre J, Méndez E. Neumomediastino espontáneo: caso clínico y revisión de la literatura. Arch Med Int 2012; 34(2):57-9. Disponible en http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-423X2012000200005&lng=es&nrm=iso. [Consulta: 15 setiembre 2022].
9) López Penza P, Odriozola M, Ruso L. Neumomediastino espontáneo asociado al consumo de drogas inhalantes. Rev Méd Urug 2007; 23(4):378-82. Disponible en http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-03902007000400006&lng=es&nrm=iso [Consulta: 3 setiembre 2022].
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