Spontaneous Pneumomediastinum as the presenting sign of Mycoplasma pneumoniae infection
Introduction: Spontaneous pneumomediastinum (SP) results from nontraumatic mediastinal air leakage. It is uncommon in children requiring a high index of suspicion. Case Report: A 17-year-old tall thin boy, light smoker, with no history of trauma or lung disease presented to our emergency room with...
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Centro Hospitalar do Porto
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doaj-1cafebd198a94b97b05c783b6549c3ae2020-11-24T23:36:40ZengCentro Hospitalar do PortoNascer e Crescer 0872-07540872-07542015-12-012441741785879Spontaneous Pneumomediastinum as the presenting sign of Mycoplasma pneumoniae infectionÂngela Pereira0Catarina Faria1Susana Carvalho2Teresa Pontes3Ana Antunes4Henedina Antunes5Sofia Martins6Serviço de Pediatria, Hospital de BragaServiço de Pediatria, Hospital de BragaUnidade de Adolescentes, Serviço de Pediatria, Hospital de BragaUnidade de Adolescentes, Serviço de Pediatria, Hospital de BragaUnidade de Adolescentes, Serviço de Pediatria, Hospital de BragaServiço de Pediatria, Hospital de Braga; Instituto de Investigação em Ciências da Vida e Saúde;Escola de Ciências da Saúde, Universidade do Minho; Laboratório Associado ICVS/3B’sUnidade de Adolescentes, Serviço de Pediatria, Hospital de BragaIntroduction: Spontaneous pneumomediastinum (SP) results from nontraumatic mediastinal air leakage. It is uncommon in children requiring a high index of suspicion. Case Report: A 17-year-old tall thin boy, light smoker, with no history of trauma or lung disease presented to our emergency room with symptoms dominated by chest pain and mild dyspnea. He reported a violent cough event in the previous hours. Pneumomediastinum was suspected considering the presence of subcutaneous air in the supraclavicular region, and was confirmed by chest radiograph, which showed mediastinal air. Serology study was positive for Mycoplasma pneumoniae and therefore a macrolide was added to symptomatic treatment, with a complete recovery. Discussion/Conclusion: SP is a diagnosis to consider when facing an adolescent with acute chest pain. This condition is possibly underdiagnosed, given its benign course and mild symptoms. Smoking acts as a predisposing factor. SP has only exceptionally been described in Mycoplasma infection.http://revistas.rcaap.pt/nascercrescer/article/view/8485dor torácicaenfisema subcutâneoMycoplasma pneumoniaepneumomediastino |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ângela Pereira Catarina Faria Susana Carvalho Teresa Pontes Ana Antunes Henedina Antunes Sofia Martins |
spellingShingle |
Ângela Pereira Catarina Faria Susana Carvalho Teresa Pontes Ana Antunes Henedina Antunes Sofia Martins Spontaneous Pneumomediastinum as the presenting sign of Mycoplasma pneumoniae infection Nascer e Crescer dor torácica enfisema subcutâneo Mycoplasma pneumoniae pneumomediastino |
author_facet |
Ângela Pereira Catarina Faria Susana Carvalho Teresa Pontes Ana Antunes Henedina Antunes Sofia Martins |
author_sort |
Ângela Pereira |
title |
Spontaneous Pneumomediastinum as the presenting sign of Mycoplasma pneumoniae infection |
title_short |
Spontaneous Pneumomediastinum as the presenting sign of Mycoplasma pneumoniae infection |
title_full |
Spontaneous Pneumomediastinum as the presenting sign of Mycoplasma pneumoniae infection |
title_fullStr |
Spontaneous Pneumomediastinum as the presenting sign of Mycoplasma pneumoniae infection |
title_full_unstemmed |
Spontaneous Pneumomediastinum as the presenting sign of Mycoplasma pneumoniae infection |
title_sort |
spontaneous pneumomediastinum as the presenting sign of mycoplasma pneumoniae infection |
publisher |
Centro Hospitalar do Porto |
series |
Nascer e Crescer |
issn |
0872-0754 0872-0754 |
publishDate |
2015-12-01 |
description |
Introduction: Spontaneous pneumomediastinum (SP) results from nontraumatic mediastinal air leakage. It is uncommon in children requiring a high index of suspicion.
Case Report: A 17-year-old tall thin boy, light smoker, with no history of trauma or lung disease presented to our emergency room with symptoms dominated by chest pain and mild dyspnea. He reported a violent cough event in the previous hours. Pneumomediastinum was suspected considering the presence of subcutaneous air in the supraclavicular region, and was confirmed by chest radiograph, which showed mediastinal air. Serology study was positive for Mycoplasma pneumoniae and therefore a macrolide was added to symptomatic treatment, with a complete recovery.
Discussion/Conclusion: SP is a diagnosis to consider when facing an adolescent with acute chest pain. This condition is possibly underdiagnosed, given its benign course and mild symptoms. Smoking acts as a predisposing factor. SP has only exceptionally been described in Mycoplasma infection. |
topic |
dor torácica enfisema subcutâneo Mycoplasma pneumoniae pneumomediastino |
url |
http://revistas.rcaap.pt/nascercrescer/article/view/8485 |
work_keys_str_mv |
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