A case of spontaneous pneumomediastinum following exacerbation of bronchial asthma in adolescents

Lack of knowledge in the management of spontaneous pneumomediastinum condition is attributable to its scarcity. Hypothetically, this condition arose during the exacerbation of bronchial asthma, leading to a recurrent forceful cough that increased the intraalveolar pressure and alveoli perforation. W...

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Main Authors: Jasmani, Asraf Haslam, Lee, Fei Yee, Ahmad Zaidi, Ahmad Al Hafeez, Khazalle, Muhammad Haekal, Mamat, Ahmad Zuhdi
Format: Article
Published: Universiti Putra Malaysia Press 2022
Online Access:http://psasir.upm.edu.my/id/eprint/100075/
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author Jasmani, Asraf Haslam
Lee, Fei Yee
Ahmad Zaidi, Ahmad Al Hafeez
Khazalle, Muhammad Haekal
Mamat, Ahmad Zuhdi
author_facet Jasmani, Asraf Haslam
Lee, Fei Yee
Ahmad Zaidi, Ahmad Al Hafeez
Khazalle, Muhammad Haekal
Mamat, Ahmad Zuhdi
author_sort Jasmani, Asraf Haslam
building UPM Institutional Repository
collection Online Access
description Lack of knowledge in the management of spontaneous pneumomediastinum condition is attributable to its scarcity. Hypothetically, this condition arose during the exacerbation of bronchial asthma, leading to a recurrent forceful cough that increased the intraalveolar pressure and alveoli perforation. We present a 14-year-old boy with three days history of progressively worsening shortness of breath and chest pain radiating to the neck following exacerbation of bronchial asthma. Clinically, he was stable, despite remarkable subcutaneous emphysema over the anterior chest wall and the neck. Lung examination was unremarkable. There was substantial radiological evidence of subcutaneous emphysema, pneumomediastinum, pneumopericardium and pneumorrhachis. He was managed expectantly with oxygenation, control of bronchial asthma symptoms and analgesia. Subsequently, his symptoms resolved, and a complete resolution was seen as evident by radiological assessment. Spontaneous pneumomediastinum with pneumopericardium, pneumorrhachis and subcutaneous emphysema is a rare condition that requires prompt identification to prevent if from becoming a life-threatening condition.
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spelling upm-1000752024-08-01T07:43:30Z http://psasir.upm.edu.my/id/eprint/100075/ A case of spontaneous pneumomediastinum following exacerbation of bronchial asthma in adolescents Jasmani, Asraf Haslam Lee, Fei Yee Ahmad Zaidi, Ahmad Al Hafeez Khazalle, Muhammad Haekal Mamat, Ahmad Zuhdi Lack of knowledge in the management of spontaneous pneumomediastinum condition is attributable to its scarcity. Hypothetically, this condition arose during the exacerbation of bronchial asthma, leading to a recurrent forceful cough that increased the intraalveolar pressure and alveoli perforation. We present a 14-year-old boy with three days history of progressively worsening shortness of breath and chest pain radiating to the neck following exacerbation of bronchial asthma. Clinically, he was stable, despite remarkable subcutaneous emphysema over the anterior chest wall and the neck. Lung examination was unremarkable. There was substantial radiological evidence of subcutaneous emphysema, pneumomediastinum, pneumopericardium and pneumorrhachis. He was managed expectantly with oxygenation, control of bronchial asthma symptoms and analgesia. Subsequently, his symptoms resolved, and a complete resolution was seen as evident by radiological assessment. Spontaneous pneumomediastinum with pneumopericardium, pneumorrhachis and subcutaneous emphysema is a rare condition that requires prompt identification to prevent if from becoming a life-threatening condition. Universiti Putra Malaysia Press 2022-10 Article PeerReviewed Jasmani, Asraf Haslam and Lee, Fei Yee and Ahmad Zaidi, Ahmad Al Hafeez and Khazalle, Muhammad Haekal and Mamat, Ahmad Zuhdi (2022) A case of spontaneous pneumomediastinum following exacerbation of bronchial asthma in adolescents. Malaysian Journal of Medicine and Health Sciences, 18 (suppl.13). art. no. 2. pp. 7-10. ISSN 2636-9346 https://medic.upm.edu.my/jurnal_kami/volume_18_2022/mjmhs_vol18_supp_13_oktober_2022-69861
spellingShingle Jasmani, Asraf Haslam
Lee, Fei Yee
Ahmad Zaidi, Ahmad Al Hafeez
Khazalle, Muhammad Haekal
Mamat, Ahmad Zuhdi
A case of spontaneous pneumomediastinum following exacerbation of bronchial asthma in adolescents
title A case of spontaneous pneumomediastinum following exacerbation of bronchial asthma in adolescents
title_full A case of spontaneous pneumomediastinum following exacerbation of bronchial asthma in adolescents
title_fullStr A case of spontaneous pneumomediastinum following exacerbation of bronchial asthma in adolescents
title_full_unstemmed A case of spontaneous pneumomediastinum following exacerbation of bronchial asthma in adolescents
title_short A case of spontaneous pneumomediastinum following exacerbation of bronchial asthma in adolescents
title_sort case of spontaneous pneumomediastinum following exacerbation of bronchial asthma in adolescents
url http://psasir.upm.edu.my/id/eprint/100075/
http://psasir.upm.edu.my/id/eprint/100075/