IP Indian Journal of Immunology and Respiratory Medicine

A child with primary spontaneous mediastinal emphysema – A rare presentation of a self-limiting disease

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Author Details: Devender Singh, Shegu Gilbert, Rajendran K, Mrinalini Singh

Volume : 1

Issue : 3

Online ISSN : 2581-4222

Print ISSN : 2581-4214

Article First Page : 55

Article End Page : 57


Spontaneous mediastinal emphysema is a rare occurrence in children while it is relatively more common in adolescents. It leads to subcutaneous emphysema, pneumomediastinum and pneumopericardium. We report a nine year old boy, a non-asthmatic who presented with fever and incessant cough for three days. He developed sudden onset chest pain and crepitant swelling of the chest-wall, neck and face. He was observed in the intensive care unit. Cardiopulmonary monitoring was done. Antibiotic, nebulization and oxygen supplementation were given. Recovery was uneventful. We discuss the clinical features, aetiopathogenesis, diagnosis and management of this rare condition.

  Asthma; Children; Mediastinal emphysema; Spontaneous pneumomediastinum