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Korean J Crit Care Med > Volume 25(3); 2010 > Article
Korean Journal of Critical Care Medicine 2010;25(3): 155-158. doi: https://doi.org/10.4266/kjccm.2010.25.3.155
신종플루 감염 소아에서 발생한 자발성 기종격과 피하기종 -증례 보고-
최보금*ㆍ윤혜정*ㆍ김여향*ㆍ현명철†
*계명대학교 의과대학 소아과학교실, †경북대학교 의학전문대학원 소아과학교실
Spontaneous Pneumomediastinum and Subcutaneous Emphysema in Children Infected with H1N1 Virus: A Case Report
Bo Geum Choi, Hye Jung Yun, Yeo Hyang Kim, Myung Chul Hyun
1Department of Pediatrics, Keimyung University School of Medicine, Daegu, Korea. kimyhped@hanmail.net
2Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Korea.
ABSTRACT
Spontaneous pneumomediastinum (SPM) is a rare condition in children which is triggered by respiratory infection and inflammation, although it occurs most commonly in asthmatics. It is caused by alveolar rupture and dissection of air into the mediastinum and hilum, and the prognosis is usually benign. We report two cases of SPM and subcutaneous emphysema complicating pneumonia in children with severe H1N1 infection. The patients were admitted to the intensive care unit and treated with oxygen, inhalation of a bronchodilator, intravenous systemic corticosteroid (methyprednisolone, 2 mg/kg/day for 5 days) and antibiotics, together with antiviral therapy. On day 4 after admission, there was no further evidence of SPM. SPM associated with severe H1N1 infection in children resolves with aggressive supportive care, without progression to pneumothorax. We should remain aware of this air leak complication in children with severe respiratory infection.
Key Words: child; emphysema; influenza; pneumomediastinum
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