NDLI: Non-invasive management of severe subcutaneous emphysema in a pediatric asthma exacerbation: a case report and review

Content Provider	Springer Nature : BioMed Central
Author	Aljohani, Amal H. Alsufiani, Hamdi Ahmed, Ghousia
Abstract	Background Spontaneous pneumomediastinum (SPM) and subcutaneous emphysema (SE) are rare, severe, and potentially life-threatening complications associated with asthma exacerbation. Most of these conditions are benign and self-limiting. However, the overlapping symptoms between asthma exacerbation and pneumomediastinum (PM) may delay diagnosis. These conditions can usually be managed through conservative treatment, although unfamiliarity with this presentation may lead some physicians to consider surgical intervention. Case presentation We report a unique case involving a 9-year-old patient experiencing a severe bronchial asthma attack and right lobe atelectasis complicated by PM and severe SE that extended to his left eye. The condition was successfully treated conservatively, with aggressive management of asthma exacerbation and close monitoring in the intensive care unit. Conclusion This case highlights the effectiveness of conservative management of PM and SE with appropriate asthma exacerbation treatment. Early diagnosis and management can lead to a favorable prognosis and a relatively brief hospital stay. Clinical trial number Not applicable.
Related Links	https://intjem.biomedcentral.com/counter/pdf/10.1186/s12245-024-00804-0.pdf
Ending Page	6
Page Count	6
Starting Page	1
File Format	HTM / HTML
ISSN	18651380
DOI	10.1186/s12245-024-00804-0
Journal	International Journal of Emergency Medicine
Issue Number	1
Volume Number	17
Language	English
Publisher	BioMed Central
Publisher Date	2024-12-31
Access Restriction	Open
Subject Keyword	Emergency Medicine Internal Medicine Cardiology Angiology Pediatrics Pneumomediastinum Subcutaneous emphysema Spontaneous pneumomediastinum Bronchial asthma Children
Content Type	Text
Resource Type	Case study
Subject	Emergency Medicine

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