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Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
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Pneumomediastinum After COVID-19
Kasey B Johnson1, Vanessa G Carroll1,2, Hinah G Parker1,2
1Washington State University, Elson S. Floyd College of Medicine, Spokane, WA, USA.
Global Pediatric Health
|June 6, 2022
Summary
Preadolescent asthma exacerbations can rarely cause pneumomediastinum and pneumopericardium. Conservative management with high-concentration oxygen led to rapid improvement and discharge in this case.
Area of Science:
- Pediatric Emergency Medicine
- Pulmonology
- Radiology
Background:
- Asthma exacerbations are common in children.
- Pneumomediastinum and pneumopericardium are rare but serious complications.
- Identifying the source of air leaks is crucial for management.
Observation:
- A preadolescent female presented with acute asthma exacerbation.
- Imaging revealed extensive pneumomediastinum and pneumopericardium.
- No distinct source for the air leak was identified.
Findings:
- The patient was managed conservatively with noninvasive monitoring, analgesia, and high-concentration oxygen.
- Serial imaging demonstrated significant improvement.
- The patient was discharged on hospital day 3.
Implications:
- Spontaneous pneumomediastinum and pneumopericardium are rare asthma complications in pediatric patients.
- Conservative management, particularly high-concentration oxygen, can be effective.
- These conditions should be considered in the differential diagnosis for pediatric asthma exacerbations, potentially linked to COVID-19.
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