Ramses Bedolla-Pulido Tonatiuh, Bedolla-Barajas Martín, González-Mendoza Tania, Hollyver Sánchez-Uribe Enndy, Delgado-Figueroa Netzahualpilli, León-García Sandra
Servicio de Alergia e Inmunología Clínica, Hospital Civil de Guadalajara "Dr. Juan I. Menchaca" , Guadalajara , Jalisco , México.
Servicio de Radiología e Imagen, Hospital Civil de Guadalajara "Dr. Juan I. Menchaca" , Guadalajara , Jalisco , México.
J Asthma. 2019 Dec;56(12):1356-1359. doi: 10.1080/02770903.2018.1539101. Epub 2019 Jan 10.
: An association between pneumorrhachis and asthma exacerbation is uncommon. However, we present a clinical case involving a patient with exacerbated asthma, subcutaneous emphysema, spontaneous pneumomediastinum (SPM), and pneumorrhachis. : The patient was an 18-year-old male with asthma since childhood who only relied on salbutamol to control his asthma symptoms. : The patient suddenly experienced dyspnea, chest tightness, and paroxysmal coughing, which prompted him to visit the emergency department. Upon arrival, subcutaneous emphysema was detected on the face, neck, thorax, and left forearm. Chest X-ray showed air in the mediastinum, neck, left supraclavicular region, and chest, all of which were verified by a computed tomography scan that also revealed air in the epidural region. At the hospital, his treatment focused on preventing asthma exacerbation and managing associated symptoms. : When a patient has asthma exacerbation that is accompanied by SPM and extensive emphysema, the presence of epidural pneumorrhachis should not be overlooked.
脊髓积气与哮喘加重之间的关联并不常见。然而，我们呈现了一例临床病例，该患者患有哮喘加重、皮下气肿、自发性纵隔气肿（SPM）和脊髓积气。该患者为一名18岁男性，自幼患有哮喘，仅依靠沙丁胺醇控制哮喘症状。患者突然出现呼吸困难、胸闷和阵发性咳嗽，遂前往急诊科就诊。到达时，在面部、颈部、胸部和左前臂发现皮下气肿。胸部X线显示纵隔、颈部、左锁骨上区域和胸部有气体，计算机断层扫描证实了这些情况，该扫描还显示硬膜外区域有气体。在医院，他的治疗重点是预防哮喘加重和处理相关症状。当患者哮喘加重并伴有SPM和广泛气肿时，不应忽视硬膜外脊髓积气的存在。
