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1.
Rev Esp Sanid Penit ; 22(1): 46-49, 2020.
Article in English | MEDLINE | ID: mdl-32406481

ABSTRACT

We present the case of a 17-year-old male patient with a history of cocaine use who consulted for chest pain and dyspnoea. A pneumomediastinum is defined as the irruption of air in the mediastinal space, and is associated with different causes, including addiction to inhaled drugs. It occurs in people with predisposing factors and the presence of precipitating factors such as consumption of inhaled drugs. X-ray and computed tomography of the thorax are very useful tools in guiding the diagnosis. The low incidence of this pathology represents a difficult diagnosis for the doctor, although in some characteristic work environments a high level of suspicion is necessary.


Subject(s)
Cocaine-Related Disorders/complications , Dyspnea/etiology , Mediastinal Emphysema/diagnosis , Adolescent , Humans , Male , Mediastinal Emphysema/etiology
2.
Rev. esp. sanid. penit ; 22(1): 49-52, 2020. ilus
Article in Spanish | IBECS | ID: ibc-195430

ABSTRACT

Se presenta el caso de un paciente varón de 17 años de edad con antecedente de consumo de cocaína, quien consulta por dolor torácico y disnea. El neumomediastino se define como la irrupción de aire en el espacio mediastínico, siendo asociado a diferentes causas, entre ellas las adicciones a drogas inhaladas. Se produce en personas con factores predisponentes y en presencia de factores desencadenantes, como el consumo de drogas inhaladas. La radiografía y la tomografía axial computarizada de tórax son herramientas de gran utilidad para orientar el diagnóstico. La baja incidencia de esta patología representa un diagnóstico difícil para el médico, aunque en algunos ambientes de trabajo característico es necesario un alto nivel de sospecha


We present the case of a 17-year-old male patient with a history of cocaine use who consulted for chest pain and dyspnoea. A pneumomediastinum is defined as the irruption of air in the mediastinal space, and is associated with different causes, including addiction to inhaled drugs. It occurs in people with predisposing factors and the presence of precipitating factors such as consumption of inhaled drugs. X-ray and computed tomography of the thorax are very useful tools in guiding the diagnosis. The low incidence of this pathology represents a difficult diagnosis for the doctor, although in some characteristic work environments a high level of suspicion is necessary


Subject(s)
Humans , Male , Adolescent , Dyspnea/chemically induced , Cocaine/adverse effects , Cocaine-Related Disorders/diagnosis , Chest Pain/chemically induced , Mediastinal Emphysema/chemically induced , Drug-Related Side Effects and Adverse Reactions/diagnosis , Risk Factors , Tobacco Use Disorder/complications
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