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Open Access 28-06-2024 | Pulmonary Emergencies | Case report

Spontaneous pneumomediastinum and surgical emphysema presenting as rhinolalia following ecstasy ingestion: a case report

Authors: Caterina Prada, Max Ross

Published in: Journal of Medical Case Reports | Issue 1/2024

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Abstract

Background

We present a unique case of rhinolalia as the first recognizable sign of spontaneous pneumomediastinum and surgical emphysema following drug use.

Case presentation

This case presents a 17-year-old white male experiencing rhinolalia following ecstasy ingestion at a rave. Subsequent chest X-ray revealed extensive surgical emphysema, along with a continuous diaphragm sign indicative of pneumomediastinum. Computed tomography confirmed the diagnosis. The patient was managed conservatively with strict monitoring and 6 hourly electrocardiograms. Follow-up computed tomography on day 3 showed resolution of pneumomediastinum and surgical emphysema, and the patient was safely discharged. Notably, the patient experienced a temporary rhinolalia during the acute phase, which resolved spontaneously as his condition improved.

Conclusions

This case underscores the importance of considering spontaneous pneumomediastinum and surgical emphysema in the differential diagnosis of young individuals presenting with acute symptoms after drug use.
Literature
1.
go back to reference Bernschneider-Reif S, Oxler F, Freudenmann RW. The origin of MDMA (“ecstasy”)—separating the facts from the myth. Pharmazie. 2006;61(11):966–72.PubMed Bernschneider-Reif S, Oxler F, Freudenmann RW. The origin of MDMA (“ecstasy”)—separating the facts from the myth. Pharmazie. 2006;61(11):966–72.PubMed
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go back to reference Hamman L. Spontaneous mediastinal emphysema. Bull Johns Hopkins Hosp. 1939;64:1–21. Hamman L. Spontaneous mediastinal emphysema. Bull Johns Hopkins Hosp. 1939;64:1–21.
Metadata
Title
Spontaneous pneumomediastinum and surgical emphysema presenting as rhinolalia following ecstasy ingestion: a case report
Authors
Caterina Prada
Max Ross
Publication date
28-06-2024

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