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The Journal of Critical Care Medicine
Volume 5 (2019): Issue 1 (January 2019)
Open Access
Management of Pneumomediastinum Associated with H1N1 Pneumonia: A Case Report
Bhavna P Singh
Bhavna P Singh
,
Gurucharan S Shetty
Gurucharan S Shetty
,
Padmakumar Arayamparambil Vijayan
Padmakumar Arayamparambil Vijayan
,
Ullas Gopalakrishna
Ullas Gopalakrishna
,
Garud Chandan
Garud Chandan
,
Ario Santini
Ario Santini
and
Vivek Padegal
Vivek Padegal
| Feb 04, 2019
The Journal of Critical Care Medicine
Volume 5 (2019): Issue 1 (January 2019)
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Article Category:
Case Report
Published Online:
Feb 04, 2019
Page range:
28 - 33
Received:
May 27, 2018
Accepted:
Dec 10, 2018
DOI:
https://doi.org/10.2478/jccm-2019-0001
Keywords
pandemic H1N1 virus
,
pneumomediastinum
,
Macklin phenomenon
© 2019 Bhavna P Singh, Gurucharan S Shetty, Padmakumar Arayamparambil Vijayan, Ullas Gopalakrishna, Garud Chandan, Ario Santini, Vivek Padegal, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
Fig. 1A
An axial section of the high resolution computed tomography chest image in a lung window showing patchy diffuse ground glass density s/o acute interstitial pneumonia.
Fig. 1B
An axial section of the high resolution computed tomography chest image in a lung window showing Mediastinal emphysema (pneumomediastinum)
Fig. 1C
A coronal plane CT thorax showing extensive pneumomediastinum with peribronchial air (arrow) demonstrating the Macklin effect. Also we can see the continuous diaphragmatic sign.
Fig. 2A
Chest xray showing extensive subcutaneous emphysema under both shoulders and pneumomediastinum.
Fig. 2B
Complete resolution of above changes post bilateral intercostal drains.