Case 4: ‘Spontaneous’ emphysema in a toddler

Siddhi, Pooja; Agrawal, Aloke

doi:10.1093/pch/21.3.139a

Cited by 1 publication

(1 citation statement)

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“…[5,9] e patient recovered fully on conservative care and was discharged on the 7 th day on admission. is is similar to earlier reports by Siddki and Agrawad [13] in the United Kingdom, Akinyemi et al [7] and Okposio and Unior [11] in Abeokuta and Delta in Nigeria, respectively. However, Aliyu [5] in Kano Nigeria discharged after 2 weeks on admission due to prolong oxygen therapy reflecting the severity of the underlying disease.…”

Section: Discussionsupporting

confidence: 91%

Spontaneous subcutaneous emphysema in a male toddler in a health facility in Nasarawa state: A case report

Bello¹,

Umejiaku²,

Ogunkunle³

et al. 2021

JPATS

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Background: Spontaneous subcutaneous emphysema (SSE) is a clinical condition in which air escapes into the subcutaneous tissues. It is a rare complication of childhood pneumonia and often occurs with pneumothorax and/or pneumomediastinum. Although the sight of a child with SSE could be frightening, it is mostly benign requiring in most cases supportive care. We report a case of SSE complicating pneumonia in an 18-month-old toddler that was managed conservatively. Case Report: An 18-months-old toddler was admitted with a 5-day history of progressive swelling of the face, scalp, upper limbs, and trunk. He was referred from a peripheral hospital where he was admitted for 5 days with pneumonia and had received antibiotics, intravenous fluid, and oxygen therapy. Clinical evaluation revealed extensive subcutaneous emphysema and right-sided pneumothorax. Antibiotics were optimized and the patient was provided supportive care and monitored for 7 days with complete resolution of the emphysema. Conclusion: SSE could complicate childhood pneumonia but it has a benign course. Effective treatment of underlying pneumonia alongside supportive care will achieve complete resolution.

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