Neumomediastino Espontaneo En Paciente Con Antecedente De Asma: Informe De Caso Y Revisión De Literatura.

Ronald Yesid Maestre Serrano, Rawdy Reales-Rois, Karen Vibanco-Payares, Ernesto Santiago-Henríquez

Resumen


[Spontaneous Pneumomediastinum in a Patient with a History of Asthma: Case Report and Literature Review]


Resumen
Neumomediastino se define por la presencia de aire en el mediastino; esta es una condición poco frecuente y una causa poco habitual de dolor torácico. Se presenta el caso de un joven de 19 años de edad, con antecedentes de asma de inicio temprano; quien dos meses antes de la consulta practicó buceo y de forma ocasional consumía y estaba expuesto al humo de marihuana; el paciente consultó por disnea de medianos esfuerzos, acompañado de dolor retro esternal opresivo irradiado a cuello, disfonía y enfisema subcutáneo en cuello y tórax, sensación subjetiva de fiebre, ansiedad y palpitaciones. Se diagnóstica neumomediastino como consecuencia de una crisis asmática.  Abstract
Pneumomediastinum is defined by the presence of air in the mediastinum; This is a rare condition and an unusual cause of chest pain. We present the case of a 19-year-old boy with a history of early-onset asthma, who, two months before the consultation, practiced scuba diving and occasionally consumed and was exposed to marijuana smoke; the patient consulted for dyspnea of medium effort, accompanied by retrograde sternal oppressive pain radiating to the neck, dysphonia and subcutaneous emphysema in the neck and chest, subjective sensation of fever, anxiety and palpitations. Pneumomediastinum was diagnosed as a consequence of an asthma attack.




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Referencias


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