Red flag; wheezing with neck pain may be a clue to the early diagnosis of spontaneous pneumomediastinum

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YURTSEVEN A. , SAZ E. U.

TUBERKULOZ VE TORAK-TUBERCULOSIS AND THORAX, vol.65, no.2, pp.146-149, 2017 (Journal Indexed in ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 65 Issue: 2
  • Publication Date: 2017
  • Doi Number: 10.5578/tt.24232
  • Title of Journal : TUBERKULOZ VE TORAK-TUBERCULOSIS AND THORAX
  • Page Numbers: pp.146-149

Abstract

Spontaneous pneumomediastinum is an uncommon clinical condition in pediatric field. We report two pediatric cases with first time wheezing episode complicated by pneumomediastinum. Investigations failed to reveal any underlying cause for secondary pneumomediastinum. Pneumomediastinum most commonly occurs in asthmatic children. It can be explained by increased pressure gradient between the intraalveolar and interstitial spaces. We conclude that high prevalence of respiratory infections in children predisposes for spontaneous pneumomediastinum due to increased pressure within obstructed airways, or by tissue necrosis from parenchymal infection.