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Systemic emphysema accompanying marked undernutrition.

Yuichi Takano1,2, Hiroaki Tanaka3, Michiari Kawamo1

  • 1Department of Critical Care and Emergency Medicine Showa University Fujigaoka Hospital Yokohama Kanagawa Japan.

Acute Medicine & Surgery
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Severe undernutrition in a woman led to systemic emphysema, a rare complication. Prompt nutritional support and antibiotics successfully resolved the emphysema, highlighting the importance of whole-body management in starvation cases.

Keywords:
Emergency roomnutritionpsychiatrysystemic emphysemaundernutrition

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Area of Science:

  • Medical Case Study
  • Internal Medicine
  • Radiology

Background:

  • A 38-year-old woman with intellectual disability presented with severe undernutrition.
  • Dental issues led to a drastic decrease in food intake over two months, causing significant weight loss (47kg to 31kg).

Observation:

  • Computed tomography (CT) revealed extensive emphysema affecting subcutaneous, mediastinal, and retroperitoneal spaces.
  • Hospitalization included central venous hyperalimentation and antibiotic therapy.

Findings:

  • Follow-up CT scans after three weeks of treatment showed complete resolution of the systemic emphysema.
  • The patient showed favorable progress and was transferred for further psychiatric care.

Implications:

  • This case underscores systemic emphysema as a rare but serious complication of prolonged starvation and undernutrition.
  • Comprehensive management, including nutritional rehabilitation and close monitoring, is crucial for patients with severe undernutrition and its complications.