Spontaneous pneumomediastinum: A rare complication of methamphetamine use

Objective: To present an unusual case of spontaneous pneumomediastinum subsequent to recreational amphetamine use. Case report: A young African American adult male was admitted to internal medicine service for treatment of rhabdomyolysis secondary to methamphetamine use. On admission, he was complai...

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Main Authors: Jessica Albanese, Cole Gross, Mohamed Azab, M.D, Sinziana Mahalean, M.D, Ranjit Makar, M.D.
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007117300874
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author Jessica Albanese
Cole Gross
Mohamed Azab, M.D
Sinziana Mahalean, M.D
Ranjit Makar, M.D.
author_facet Jessica Albanese
Cole Gross
Mohamed Azab, M.D
Sinziana Mahalean, M.D
Ranjit Makar, M.D.
author_sort Jessica Albanese
collection DOAJ
description Objective: To present an unusual case of spontaneous pneumomediastinum subsequent to recreational amphetamine use. Case report: A young African American adult male was admitted to internal medicine service for treatment of rhabdomyolysis secondary to methamphetamine use. On admission, he was complaining of chest pain in addition to nausea and generalized muscle aches. By his second hospital day, chest pain had resolved yet physical exam demonstrated crepitation of the anterior chest and left axilla. Portable chest x-ray revealed subcutaneous emphysema in addition to pneumomediastinum. Conclusion: Spontaneous pneumomediastinum is a rare complication of amphetamine use that is often associated with subcutaneous emphysema and can be diagnosed with chest x-ray. Management is conservative, with observation, pain control, and supplemental oxygen as needed.
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spelling doaj.art-af35bbf5d11f4f90b2f25634355fc5492022-12-22T01:37:24ZengElsevierRespiratory Medicine Case Reports2213-00712017-01-0121C252610.1016/j.rmcr.2017.03.007Spontaneous pneumomediastinum: A rare complication of methamphetamine useJessica AlbaneseCole GrossMohamed Azab, M.DSinziana Mahalean, M.DRanjit Makar, M.D.Objective: To present an unusual case of spontaneous pneumomediastinum subsequent to recreational amphetamine use. Case report: A young African American adult male was admitted to internal medicine service for treatment of rhabdomyolysis secondary to methamphetamine use. On admission, he was complaining of chest pain in addition to nausea and generalized muscle aches. By his second hospital day, chest pain had resolved yet physical exam demonstrated crepitation of the anterior chest and left axilla. Portable chest x-ray revealed subcutaneous emphysema in addition to pneumomediastinum. Conclusion: Spontaneous pneumomediastinum is a rare complication of amphetamine use that is often associated with subcutaneous emphysema and can be diagnosed with chest x-ray. Management is conservative, with observation, pain control, and supplemental oxygen as needed.http://www.sciencedirect.com/science/article/pii/S2213007117300874PneumomediastinumSubcutaneous emphysemaMethamphetamine use
spellingShingle Jessica Albanese
Cole Gross
Mohamed Azab, M.D
Sinziana Mahalean, M.D
Ranjit Makar, M.D.
Spontaneous pneumomediastinum: A rare complication of methamphetamine use
Respiratory Medicine Case Reports
Pneumomediastinum
Subcutaneous emphysema
Methamphetamine use
title Spontaneous pneumomediastinum: A rare complication of methamphetamine use
title_full Spontaneous pneumomediastinum: A rare complication of methamphetamine use
title_fullStr Spontaneous pneumomediastinum: A rare complication of methamphetamine use
title_full_unstemmed Spontaneous pneumomediastinum: A rare complication of methamphetamine use
title_short Spontaneous pneumomediastinum: A rare complication of methamphetamine use
title_sort spontaneous pneumomediastinum a rare complication of methamphetamine use
topic Pneumomediastinum
Subcutaneous emphysema
Methamphetamine use
url http://www.sciencedirect.com/science/article/pii/S2213007117300874
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