Spontaneous Pneumopericardium in a U.S. Marine: Do not Lose Heart
| Autor: | Radhames E. Lizardo, David Sherrier |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Vital signs Pneumopericardium 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Lower respiratory tract infection medicine Humans Pneumomediastinum Mediastinal Emphysema business.industry General surgery Public Health Environmental and Occupational Health Pneumothorax General Medicine medicine.disease Subcutaneous Emphysema Military Personnel Cough Fast track medicine.symptom business 030217 neurology & neurosurgery Subcutaneous emphysema |
| Zdroj: | Military Medicine. 185:e518-e521 |
| ISSN: | 1930-613X 0026-4075 |
| Popis: | We report an unusual case of extensive subcutaneous emphysema, pneumomediastinum, and pneumopericardium identified in an otherwise healthy U.S. Marine who was enrolled in the Marine Corps School of Infantry. His training regimen included prolonged periods of yelling and elevation changes during sustained hiking through hilly terrain. The patient presented to the Fast Track with normal vital signs but complained of dyspnea, cough, and subjective fevers. Although he lacked a history of trauma, he was found to have pneumopericardium, pneumomediastinum, and subcutaneous emphysema without pneumothorax. He was admitted to the general surgery service for observation and was ultimately released back to his unit after 24 hours. To our knowledge, pneumopericardium has never been attributed to persistent yelling in the setting of a lower respiratory tract infection and should be considered in the differential of atraumatic chest symptomatology in otherwise healthy military service members. |
| Databáze: | OpenAIRE |
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