Spontaneous Pneumomediastinum and Subcutaneous Emphysema following Cocaine Inhalation and Ecstasy Ingestion

Spontaneous pneumomediastinum (SPM) and subcutaneous emphysema are rare complications of illicit drug abuse. Thorough history, examination, and investigations are required to rule out fatal complications such as oesophageal perforation. We present a case of a 21-year-old male presenting with pleurit...

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Bibliographic Details
Published in:Case reports in otolaryngology 2019-01, Vol.2019 (2019), p.1-4
Main Authors: Jaensch, Samantha, Kuo, Tony Shih-Wei, Hwang, Sang
Format: Article
Language:English
Subjects:
Asthma
Asthma in children
Case Report
Case reports
Cocaine
Complications and side effects
Drug abuse
Drug use
Ecstasy
Emergency medical care
Emphysema
Emphysema, Pulmonary
Endoscopy
Medicine
Otology
Pneumomediastinum
Thoracic surgery
Trauma
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Summary:Spontaneous pneumomediastinum (SPM) and subcutaneous emphysema are rare complications of illicit drug abuse. Thorough history, examination, and investigations are required to rule out fatal complications such as oesophageal perforation. We present a case of a 21-year-old male presenting with pleuritic chest pain one day after cocaine inhalation and ingesting ecstasy. Conservative supportive management is appropriate when this occurs spontaneously without radiological evidence of visceral perforation.
ISSN:2090-6765
2090-6773
DOI:10.1155/2019/6972731