Spontaneous subcutaneous emphysema in a male toddler in a health facility in Nasarawa state: A case report

Autor: Oyetundun Fausat Afolabi, Taofik Oluwaseun Ogunkunle, Surajudeen Oyeleke Bello, Sandra Umejiaku, Ahmed Ashuku Yakubu
Rok vydání: 2021
Předmět:
Zdroj: Journal of the Pan African Thoracic Society; Vol. 2 No. 1 (2021); 53-55
ISSN: 2694-4561
DOI: 10.25259/jpats_7_2020
Popis: Background: Spontaneous subcutaneous emphysema (SSE) is a clinical condition in which air escapes into the subcutaneous tissues. It is a rare complication of childhood pneumonia and often occurs with pneumothorax and/or pneumomediastinum. Although the sight of a child with SSE could be frightening, it is mostly benign requiring in most cases supportive care. We report a case of SSE complicating pneumonia in an 18-month-old toddler that was managed conservatively. Case Report: An 18-months-old toddler was admitted with a 5-day history of progressive swelling of the face, scalp, upper limbs, and trunk. He was referred from a peripheral hospital where he was admitted for 5 days with pneumonia and had received antibiotics, intravenous fluid, and oxygen therapy. Clinical evaluation revealed extensive subcutaneous emphysema and right-sided pneumothorax. Antibiotics were optimized and the patient was provided supportive care and monitored for 7 days with complete resolution of the emphysema. Conclusion: SSE could complicate childhood pneumonia but it has a benign course. Effective treatment of underlying pneumonia alongside supportive care will achieve complete resolution.
Databáze: OpenAIRE