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A 27-Year-Old Woman with an Exacerbation of Chronic Asthma Due to Influenza A Presenting with Pneumomediastinum, Retropharyngeal Emphysema, and Subcutaneous Emphysema

Patient: Female, 27-year-old Final Diagnosis: Retropharyngeal emphysema • subcutaneous emphysema • pneumomediastinum Symptoms: Chest pain • shortness of breath • throat pressure Clinical Procedure: — Specialty: Critical Care Medicine • General and Internal Medicine • Pulmonology OBJECTIVE: Unusual c...

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Autores principales: Farouji, Abdelhadi, Haddad, Ahmad W., Battah, Arwa, Ahmad, Amaar S., Miller, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10684829/
https://www.ncbi.nlm.nih.gov/pubmed/37997300
http://dx.doi.org/10.12659/AJCR.941733
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author Farouji, Abdelhadi
Haddad, Ahmad W.
Battah, Arwa
Ahmad, Amaar S.
Miller, Richard
author_facet Farouji, Abdelhadi
Haddad, Ahmad W.
Battah, Arwa
Ahmad, Amaar S.
Miller, Richard
author_sort Farouji, Abdelhadi
collection PubMed
description Patient: Female, 27-year-old Final Diagnosis: Retropharyngeal emphysema • subcutaneous emphysema • pneumomediastinum Symptoms: Chest pain • shortness of breath • throat pressure Clinical Procedure: — Specialty: Critical Care Medicine • General and Internal Medicine • Pulmonology OBJECTIVE: Unusual clinical course BACKGROUND: Influenza infection can trigger an asthma exacerbation, which can lead to spontaneous pneumomediastinum. This is a rare condition that typically occurs after a sudden increase in intra-alveolar pressure. Pneumomediastinum is usually a benign condition that can be treated with supportive care, and it can be accompanied by subcutaneous emphysema. However, it can progress to retropharyngeal emphysema, as reported in this case. This report is of a 27-year-old patient with past medical history of well-controlled asthma presenting for acute exacerbation of asthma secondary to influenza A infection who developed pneumomediastinum, subcutaneous emphysema, and retropharyngeal emphysema. To the best of our knowledge, there is only one case in literature that has reported a similar presentation secondary to influenza A infection. CASE REPORT: We report a 27-year-old woman with well-controlled asthma who presented with chest pain, shortness of breath, throat pressure, dry cough, and expiratory wheezing as an acute exacerbation of asthma secondary to influenza A infection. On chest imaging, she was found to have spontaneous pneumomediastinum, subcutaneous emphysema, and retropharyngeal emphysema. Her symptoms were resolved with supportive measures and control of asthma symptoms. CONCLUSIONS: This case highlights these atypical complications of asthma exacerbations. Although these complications are typically benign and can resolve with supportive measures, severe cases can lead to acute airway compromise, pneumothorax, tension pneumomediastinum, or tension pneumopericardium. This case also shows how important it is to consider chest radiographs in any young patient with an asthma exacerbation who has symptoms or signs suggestive of extra-alveolar air.
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spelling pubmed-106848292023-11-30 A 27-Year-Old Woman with an Exacerbation of Chronic Asthma Due to Influenza A Presenting with Pneumomediastinum, Retropharyngeal Emphysema, and Subcutaneous Emphysema Farouji, Abdelhadi Haddad, Ahmad W. Battah, Arwa Ahmad, Amaar S. Miller, Richard Am J Case Rep Articles Patient: Female, 27-year-old Final Diagnosis: Retropharyngeal emphysema • subcutaneous emphysema • pneumomediastinum Symptoms: Chest pain • shortness of breath • throat pressure Clinical Procedure: — Specialty: Critical Care Medicine • General and Internal Medicine • Pulmonology OBJECTIVE: Unusual clinical course BACKGROUND: Influenza infection can trigger an asthma exacerbation, which can lead to spontaneous pneumomediastinum. This is a rare condition that typically occurs after a sudden increase in intra-alveolar pressure. Pneumomediastinum is usually a benign condition that can be treated with supportive care, and it can be accompanied by subcutaneous emphysema. However, it can progress to retropharyngeal emphysema, as reported in this case. This report is of a 27-year-old patient with past medical history of well-controlled asthma presenting for acute exacerbation of asthma secondary to influenza A infection who developed pneumomediastinum, subcutaneous emphysema, and retropharyngeal emphysema. To the best of our knowledge, there is only one case in literature that has reported a similar presentation secondary to influenza A infection. CASE REPORT: We report a 27-year-old woman with well-controlled asthma who presented with chest pain, shortness of breath, throat pressure, dry cough, and expiratory wheezing as an acute exacerbation of asthma secondary to influenza A infection. On chest imaging, she was found to have spontaneous pneumomediastinum, subcutaneous emphysema, and retropharyngeal emphysema. Her symptoms were resolved with supportive measures and control of asthma symptoms. CONCLUSIONS: This case highlights these atypical complications of asthma exacerbations. Although these complications are typically benign and can resolve with supportive measures, severe cases can lead to acute airway compromise, pneumothorax, tension pneumomediastinum, or tension pneumopericardium. This case also shows how important it is to consider chest radiographs in any young patient with an asthma exacerbation who has symptoms or signs suggestive of extra-alveolar air. International Scientific Literature, Inc. 2023-11-24 /pmc/articles/PMC10684829/ /pubmed/37997300 http://dx.doi.org/10.12659/AJCR.941733 Text en © Am J Case Rep, 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Farouji, Abdelhadi
Haddad, Ahmad W.
Battah, Arwa
Ahmad, Amaar S.
Miller, Richard
A 27-Year-Old Woman with an Exacerbation of Chronic Asthma Due to Influenza A Presenting with Pneumomediastinum, Retropharyngeal Emphysema, and Subcutaneous Emphysema
title A 27-Year-Old Woman with an Exacerbation of Chronic Asthma Due to Influenza A Presenting with Pneumomediastinum, Retropharyngeal Emphysema, and Subcutaneous Emphysema
title_full A 27-Year-Old Woman with an Exacerbation of Chronic Asthma Due to Influenza A Presenting with Pneumomediastinum, Retropharyngeal Emphysema, and Subcutaneous Emphysema
title_fullStr A 27-Year-Old Woman with an Exacerbation of Chronic Asthma Due to Influenza A Presenting with Pneumomediastinum, Retropharyngeal Emphysema, and Subcutaneous Emphysema
title_full_unstemmed A 27-Year-Old Woman with an Exacerbation of Chronic Asthma Due to Influenza A Presenting with Pneumomediastinum, Retropharyngeal Emphysema, and Subcutaneous Emphysema
title_short A 27-Year-Old Woman with an Exacerbation of Chronic Asthma Due to Influenza A Presenting with Pneumomediastinum, Retropharyngeal Emphysema, and Subcutaneous Emphysema
title_sort 27-year-old woman with an exacerbation of chronic asthma due to influenza a presenting with pneumomediastinum, retropharyngeal emphysema, and subcutaneous emphysema
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10684829/
https://www.ncbi.nlm.nih.gov/pubmed/37997300
http://dx.doi.org/10.12659/AJCR.941733
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