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Case Reports
. 2017 Aug 7:2017:bcr2017219851.
doi: 10.1136/bcr-2017-219851.

Cocaine-related subcutaneous emphysema, pneumorrhachis and pneumomediastinum: a rare clinical finding

Obiajulu Kanu  1 , Mohamed Teleb  1 , Harsh Agrawal  1 , Laura B Cashin  1
Affiliations
Case Reports

Cocaine-related subcutaneous emphysema, pneumorrhachis and pneumomediastinum: a rare clinical finding

Obiajulu Kanu et al. BMJ Case Rep. .

Abstract

A young man presented with several days of dyspnoea and delirium due to cocaine use which was confirmed by urine drug screening. Imaging studies confirmed the diagnosis of subcutaneous emphysema, pneumorrhachis and pneumomediastinum. He was managed successfully with conservative therapy.Although a rare clinical finding, cocaine-related pneumomediastinum, subcutaneous emphysema and pneumorrhachis should be recognised early on presentation. This will certainly help to effectively direct the use of healthcare resources and avoid subjecting the patient to unnecessary investigations.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Chest X-ray demonstrating extensive subcutaneous emphysema within the supraclavicular and axillary soft tissues on day 1.
Figure 2
Figure 2
Coronal view of chest CT scan demonstrating air outlining the visceral and parietal pleura of the mediastinum, along with emphysematous extension into the supraclavicular soft tissues.
Figure 3
Figure 3
Axial image of chest CT showing pneumorrhachis and subcutaneous emphysema.
Figure 4
Figure 4
Chest X-ray on day 2 showing marked improvement of subcutaneous emphysema.
Figure 5
Figure 5
Chest X-ray on day 4 showing complete resolution of subcutaneous emphysema.
See this image and copyright information in PMC

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References

    1. Karila L, Petit A, Lowenstein W, et al. . Diagnosis and consequences of cocaine addiction. Curr Med Chem 2012;19:5612–8. 10.2174/092986712803988839 - DOI - PubMed
    1. Kouritas VK, Papagiannopoulos K, Lazaridis G, et al. . Pneumomediastinum. J Thorac Dis 2015;7:S44–9. 10.3978/j.issn.2072-1439.2015.01.11 - DOI - PMC - PubMed
    1. Gotway MB, Marder SR, Hanks DK, et al. . Thoracic complications of illicit drug use: an organ system approach. Radiographics 2002;22 Spec No:S119–S135. 10.1148/radiographics.22.suppl_1.g02oc01s119 - DOI - PubMed
    1. Patel V, Raval G, Gavadia K. Pneumothorax, pneumomediastinum, subcutaneous emphysema and pneumorrhachis as complications of common flu. Am J Case Rep 2012;13:198–201. 10.12659/AJCR.883332 - DOI - PMC - PubMed
    1. Oertel MF, Korinth MC, Reinges MH, et al. . Pathogenesis, diagnosis and management of pneumorrhachis. Eur Spine J 2006;15 Suppl 5:636–43. 10.1007/s00586-006-0160-6 - DOI - PMC - PubMed

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