Pneumomediastinum as a complication of critical pertussis.
作者信息
Monaco Francesco, Barone Mario, Manfredi Valeria G, Marando Rosario, Nunnari Flavia, David Antonio, Monaco Maurizio, Cascio Antonio
机构信息
Thoracic Surgery Unit, Cardiovascular and Thoracic Department, Policlinic University Hospital, University of Messina, Messina, Italy.
Department of Neurosciences, Psychiatric and Anesthesiological Sciences, University of Messina, Messina, Italy.
出版信息
Clin Respir J. 2016 Nov;10(6):772-776. doi: 10.1111/crj.12285. Epub 2015 Apr 15.
BACKGROUND AND AIMS
Pertussis is a common and potentially serious disease affecting mainly infants and young children. In its non-classic presentation, pertussis can be clinically indistinguishable from other respiratory illnesses. Pertussis today often remains underdiagnosed in adults. Our aims was to report a complicated cases of pertussis.
RESULTS
A case of serologically confirmed pertussis occurred in an 18-year-old man presenting with pneumomediastinum, subcutaneous emphysema in the neck and chest, and persistent attacks of coughing with apnea that required treatment in the intensive care unit.
CONCLUSION
Pneumomediastinum and subcutaneous emphysema have never been described in adult patients with pertussis. Physicians should be aware that patients presenting with persistent cough and pneumomediastinum may have pertussis and include this in their differential diagnosis.
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