Wednesday, 19 April 2023

The Macklin Effect: Spontaneous Pneumomediastinum Reveals Asthma | Chapter 11 | Research Developments in Medicine and Medical Science Vol. 8

 We report a case of willing pneumomediastinum in an asthmatic patient. Pneumomediastinum is delineated as the presence of air in the mediastinum, which concede possibility be secondary to strain, pneumothorax, or airway perforation, or grant permission be spontaneous. We report the case of a 28-old age-old patient with emphysema mediastinum the one presented accompanying an acute irritation of asthma. The patient was not known to have asthma or an atopic background, had no past of surgery, and acted not have any evidence of trauma or current iatrogenicity. She presented accompanying sudden onset of inability of breath accompanying chest   shortage and expectoration with green spit. Chest auscultation revealed perceptible sibilant rales with subcutaneous emphysema. Chest radiographs actualize the air border along the edge of the soul contour, correlating accompanying subcutaneous hypersharpness in the cervical region. Chest CT scan habitual diffuse moderate pneumomediastinum. The patient taken nasal oxygen, nebulized Ventolin, and received intravenous corticosteroids. The patient advanced well over three days, from clinical improvement, continuous discrete sound unit of speech rales at the apexes, and resolution of  subcutaneous emphysema to oxygen therapy and conventionnal healing treatment.

Author(s) Details:

Chaynez Rachid,
Department of Pneumology, Ar-Razi Hospital, Centre Hospitalo-Universitaire (CHU) Mohammed Vi, Marrakech, Morocco.

Lina Romane,
Department of Pneumology, Ar-Razi Hospital, Centre Hospitalo-Universitaire (CHU) Mohammed Vi, Marrakech, Morocco.

Salma Ait Batahar,
Department of Pneumology, Ar-Razi Hospital, Centre Hospitalo-Universitaire (CHU) Mohammed Vi, Marrakech, Morocco.

Lamyae Amro,
Department of Pneumology, Ar-Razi Hospital, Centre Hospitalo-Universitaire (CHU) Mohammed Vi, Marrakech, Morocco.

Please see the link here: https://stm.bookpi.org/RDMMS-V8/article/view/10210


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