Korean J Asthma Allergy Clin Immunol.
2011 Dec;31(4):307-310.
Spontaneous Pneumomediastinum and Subcutaneous Emphysema Complicated by Acute Exacerbation of Asthma
Abstract
- BACKGROUND
Spontanous pneumomediastinum is an uncommon disease that is defined as the nontraumatic presence of free air in the mediastinum without any apparent underlying disease. Asthma is one of the most common health problems, and spontanous pneumomediastinum occurs as a rare complication of acute exacerbation of asthma. CASE HISTORY: A 29-year-old man with asthma was admitted to the hospital with acute exacerbation of asthma. His respiratory rate was 14 min, and arterial oxgen saturation was 90% at room air. Chest X-ray shows pneumomediastinum and subcutaneous emphysema.
RESULTS
He was treated conservatively with oxygen and intravenous steroid therapy, and his clinical conditions improved. Subcutaneous emphysema and pneumomediastinum disappeared during the follow-up period.
CONCLUSION
Spontaneous pneumomediastinum complicated by asthma exacerbation is usually self-limiting and well controlled with conservative management, but this condition can be potentially life threatening.
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