Pneumopericardium As Presenting Feature Of HIV/AIDS With P. Jirovecii Pneumonia

Goodman, Lauren; Kingrey, J.F.; O’Brien, James M.

doi:10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a4614

Cited by 1 publication

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“…The occurrence of spontaneous pneumomediastinum in PJP is rare but has been described in several case reports. 1–10 Pneumomediastinum in these cases was usually related to intubation or lung function tests. A few case reports describe subcutaneous emphysema together with pneumomediastinum, although not as extensive as in our patient.…”

Section: Introductionmentioning

confidence: 99%

A novel approach to resolve severe mediastinal and subcutaneous emphysema occurring in Pneumocystis jirovecii pneumonia using vacuum-assisted closure therapy

Bouwmeester

Kieft

Shahin

et al. 2020

SAGE Open Medical Case Reports

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A 50-year-old human immunodeficiency virus positive patient who was diagnosed with Pneumocystis jirovecii pneumonia developed severe subcutaneous and mediastinal emphysema, which was progressive despite low pressure mechanical ventilation. Infraclavicular skin incisions and vacuum-assisted closure therapy were used to resolve the emphysema. The subcutaneous emphysema decreased significantly, and after 1 week the vacuum-assisted closure therapy was ended successfully. This technique has previously been described in several case reports, where it is a promising treatment in severe subcutaneous emphysema, but it is not yet widely used. This case report supports the further use of vacuum-assisted closure therapy in subcutaneous emphysema. Successful treatment of severe mediastinal and subcutaneous emphysema in Pneumocystis jirovecii pneumonia can be achieved by vacuum-assisted closure therapy on infraclavicular skin incisions.

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