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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Main Authors: Samantha Jaensch, Sang Hwang, Tony Shih-Wei Kuo
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2019/6972731
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author Samantha Jaensch
Sang Hwang
Tony Shih-Wei Kuo
author_facet Samantha Jaensch
Sang Hwang
Tony Shih-Wei Kuo
author_sort Samantha Jaensch
collection DOAJ
description 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.
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spelling doaj-art-ed6b962ef7274a16a7ba8f91a2b3e41f2025-08-20T03:21:11ZengWileyCase Reports in Otolaryngology2090-67652090-67732019-01-01201910.1155/2019/69727316972731Spontaneous Pneumomediastinum and Subcutaneous Emphysema following Cocaine Inhalation and Ecstasy IngestionSamantha Jaensch0Sang Hwang1Tony Shih-Wei Kuo2Department of Otolaryngology, Gosford Hospital, Gosford, NSW, AustraliaDepartment of Otolaryngology, Gosford Hospital, Gosford, NSW, AustraliaDepartment of Otolaryngology, Gosford Hospital, Gosford, NSW, AustraliaSpontaneous 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.http://dx.doi.org/10.1155/2019/6972731
spellingShingle Samantha Jaensch
Sang Hwang
Tony Shih-Wei Kuo
Spontaneous Pneumomediastinum and Subcutaneous Emphysema following Cocaine Inhalation and Ecstasy Ingestion
Case Reports in Otolaryngology
title Spontaneous Pneumomediastinum and Subcutaneous Emphysema following Cocaine Inhalation and Ecstasy Ingestion
title_full Spontaneous Pneumomediastinum and Subcutaneous Emphysema following Cocaine Inhalation and Ecstasy Ingestion
title_fullStr Spontaneous Pneumomediastinum and Subcutaneous Emphysema following Cocaine Inhalation and Ecstasy Ingestion
title_full_unstemmed Spontaneous Pneumomediastinum and Subcutaneous Emphysema following Cocaine Inhalation and Ecstasy Ingestion
title_short Spontaneous Pneumomediastinum and Subcutaneous Emphysema following Cocaine Inhalation and Ecstasy Ingestion
title_sort spontaneous pneumomediastinum and subcutaneous emphysema following cocaine inhalation and ecstasy ingestion
url http://dx.doi.org/10.1155/2019/6972731
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AT sanghwang spontaneouspneumomediastinumandsubcutaneousemphysemafollowingcocaineinhalationandecstasyingestion
AT tonyshihweikuo spontaneouspneumomediastinumandsubcutaneousemphysemafollowingcocaineinhalationandecstasyingestion