Spontaneous Pneumomediastinum: A Case Report of a Patient with Bronchial Asthma

Introduction: Spontaneous pneumomediastinum is defined as the presence of open air in the mediastinum in the absence of an identifiable cause, it can occur in any age group and in both genders, becoming a reason for consultation in the first care level. Clinical case: Seventeen-year-old male patient...

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Autores: Garduño Orbe, Brenda, Balanzar Maldonado, Jahzeel, Esteban Gómez, Wendy, Silva Meneses, Elizabeth, Arzeta Valderrama, Luis
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:México
Institución:UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO
Repositorio:Atención Familiar
Idioma:español
OAI Identifier:oai:ojs.pkp.sfu.ca:article/70039
Acceso en línea:https://www.revistas.unam.mx/index.php/atencion_familiar/article/view/70039
Access Level:acceso abierto
Palabra clave:enfisema mediastinal
neumomediastino
asma
mediastinal emphysema
pneumomediastinum
asthma
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spelling Spontaneous Pneumomediastinum: A Case Report of a Patient with Bronchial AsthmaNeumomediastino espontáneo: reporte de caso en un paciente con asma bronquialGarduño Orbe, BrendaBalanzar Maldonado, JahzeelEsteban Gómez, WendySilva Meneses, ElizabethArzeta Valderrama, Luisenfisema mediastinalneumomediastinoasmamediastinal emphysemapneumomediastinumasthmaIntroduction: Spontaneous pneumomediastinum is defined as the presence of open air in the mediastinum in the absence of an identifiable cause, it can occur in any age group and in both genders, becoming a reason for consultation in the first care level. Clinical case: Seventeen-year-old male patient with pathological history of bronchial asthma since five years of age, starts suffering with an intermittent cough without expectoration, not cyanotic, not emetic, and not spastic. After exposure to dust there is exacerbation of the symptoms with coughing spells, spastic and chest pain to inhalation. The computerized axial tomography of the chest for lung reports pneumomediastinum that is dissected all its way, from the apical region to the mediastinal base. Conclusion: It is important for the Family Physician to identify the risk factors and comorbidities that could become conditional on spontaneous pneumomediastinum, because early diagnosis and high clinical suspicion decreases the risk of complications with a favorable outcome for the patient.Introducción: el neumomediastino espontáneo se define como la presencia de aire libre en el mediastino en ausencia de una causa identificable, puede producirse en cualquier grupo de edad y en ambos géneros, por lo que es motivo de consulta en el primer nivel de atención. Caso clínico: paciente masculino de diecisiete años con antecedente patológico de asma bronquial desde los cinco años de edad, inicia padecimiento con cuadro de tos intermitente sin expectoración, no cianozante, no emetizante, no disneizante. Posterior a la exposición a polvo hay exacerbación del cuadro con tos en accesos, disneizante y dolor torácico a la inspiración. La tomografía axial computarizada de tórax con ventana para pulmón reporta neumomediastino que diseca en todo su trayecto, desde la región apical hasta la base mediastinal. Conclusión: es importante para el médico familiar la identificación de los factores de riesgo y las comorbilidades que podrían llegar a condicionar el neumomediastino espontáneo, debido a que el diagnóstico precoz y la alta sospecha clínica disminuye el riesgo de complicaciones con un resultado favorable para el paciente. Facultad de Medicina2019-07-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.unam.mx/index.php/atencion_familiar/article/view/7003910.22201/facmed.14058871p.2019.3.70039Atención Familiar; Vol. 26 Núm. 3; 114-1172992-782X10.22201/facmed.14058871p.2019.3reponame:Atención Familiarinstname:UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICOinstacron:UNAMspahttps://www.revistas.unam.mx/index.php/atencion_familiar/article/view/70039/62068Derechos de autor 2019 Atención Familiarinfo:eu-repo/semantics/openAccessoai:ojs.pkp.sfu.ca:article/700392024-08-16T16:51:46Z
dc.title.none.fl_str_mv Spontaneous Pneumomediastinum: A Case Report of a Patient with Bronchial Asthma
Neumomediastino espontáneo: reporte de caso en un paciente con asma bronquial
title Spontaneous Pneumomediastinum: A Case Report of a Patient with Bronchial Asthma
spellingShingle Spontaneous Pneumomediastinum: A Case Report of a Patient with Bronchial Asthma
Garduño Orbe, Brenda
enfisema mediastinal
neumomediastino
asma
mediastinal emphysema
pneumomediastinum
asthma
title_short Spontaneous Pneumomediastinum: A Case Report of a Patient with Bronchial Asthma
title_full Spontaneous Pneumomediastinum: A Case Report of a Patient with Bronchial Asthma
title_fullStr Spontaneous Pneumomediastinum: A Case Report of a Patient with Bronchial Asthma
title_full_unstemmed Spontaneous Pneumomediastinum: A Case Report of a Patient with Bronchial Asthma
title_sort Spontaneous Pneumomediastinum: A Case Report of a Patient with Bronchial Asthma
dc.creator.none.fl_str_mv Garduño Orbe, Brenda
Balanzar Maldonado, Jahzeel
Esteban Gómez, Wendy
Silva Meneses, Elizabeth
Arzeta Valderrama, Luis
author Garduño Orbe, Brenda
author_facet Garduño Orbe, Brenda
Balanzar Maldonado, Jahzeel
Esteban Gómez, Wendy
Silva Meneses, Elizabeth
Arzeta Valderrama, Luis
author_role author
author2 Balanzar Maldonado, Jahzeel
Esteban Gómez, Wendy
Silva Meneses, Elizabeth
Arzeta Valderrama, Luis
author2_role author
author
author
author
dc.subject.none.fl_str_mv enfisema mediastinal
neumomediastino
asma
mediastinal emphysema
pneumomediastinum
asthma
topic enfisema mediastinal
neumomediastino
asma
mediastinal emphysema
pneumomediastinum
asthma
description Introduction: Spontaneous pneumomediastinum is defined as the presence of open air in the mediastinum in the absence of an identifiable cause, it can occur in any age group and in both genders, becoming a reason for consultation in the first care level. Clinical case: Seventeen-year-old male patient with pathological history of bronchial asthma since five years of age, starts suffering with an intermittent cough without expectoration, not cyanotic, not emetic, and not spastic. After exposure to dust there is exacerbation of the symptoms with coughing spells, spastic and chest pain to inhalation. The computerized axial tomography of the chest for lung reports pneumomediastinum that is dissected all its way, from the apical region to the mediastinal base. Conclusion: It is important for the Family Physician to identify the risk factors and comorbidities that could become conditional on spontaneous pneumomediastinum, because early diagnosis and high clinical suspicion decreases the risk of complications with a favorable outcome for the patient.
publishDate 2019
dc.date.none.fl_str_mv 2019-07-24
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://www.revistas.unam.mx/index.php/atencion_familiar/article/view/70039
10.22201/facmed.14058871p.2019.3.70039
url https://www.revistas.unam.mx/index.php/atencion_familiar/article/view/70039
identifier_str_mv 10.22201/facmed.14058871p.2019.3.70039
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://www.revistas.unam.mx/index.php/atencion_familiar/article/view/70039/62068
dc.rights.none.fl_str_mv Derechos de autor 2019 Atención Familiar
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 2019 Atención Familiar
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Facultad de Medicina
publisher.none.fl_str_mv Facultad de Medicina
dc.source.none.fl_str_mv Atención Familiar; Vol. 26 Núm. 3; 114-117
2992-782X
10.22201/facmed.14058871p.2019.3
reponame:Atención Familiar
instname:UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO
instacron:UNAM
instname_str UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO
instacron_str UNAM
institution UNAM
reponame_str Atención Familiar
collection Atención Familiar
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.81155

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