Spontaneous pneumomediastinum following pneumonia in a 23-year-old male patient

Yusuf Kayar, Nüket Bayram Kayar, Tuncay Şahutoğlu, Venkatanarayana Gangarapu
  • Nüket Bayram Kayar
    Bağcılar Education and Research Hospital, Turkey
  • Tuncay Şahutoğlu
    Sisli Etfal Education and Research Hospital, Turkey
  • Venkatanarayana Gangarapu
    Bezmialem Vakif University, Turkey

Abstract

Spontaneous pneumomediastinum (SPM) is defined as the presence of interstitial air in the mediastinum without any apparent precipitating factor. We present a case of 23 year old male patient, who has been referred to our outpatient clinic with the complaints of sudden chest pain, dyspnea followed by pneumonia and was diagnosed as SPM. The patient was treated with ampicillin sulbactam (4 gr/day) and methylprednisolon (20 mg/day) for 4 days. and oral intake was stopped during treatment. Post treatment, it was observed that the crepitations were disappeared thoroughly and vesicular sounds were heard by oscultation. The control values of arterial blood gas was as following: pH:7,39 pO2:95 mmHg, pCO2:37 mmHg, SaO2: %97. In the 5th day his oral intake was started and he was discharged. 

Keywords

Spontaneous pneumomediastinum; dyspnea; chest pain.

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Submitted: 2016-08-31 11:12:29
Published: 2016-10-14 15:18:45
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Copyright (c) 2016 Yusuf Kayar, Nüket Bayram Kayar, Tuncay Şahutoğlu, Venkatanarayana Gangarapu

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