A 34-year-old gentleman, with a background of osteoarthritis, presented to the Acute Medical Unit with a short history of breathlessness. He had returned from holiday to the United States five days previously. Since return, he had complained of myalgia, sore throat, a non-productive cough, mild anorexia and fevers at home. More acutely, prompting his presentation to hospital, was acute dyspnoea, which was sudden onset, with some central anterior chest discomfort and worse lying flat.
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References
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- Jougon JB, Ballester M, Delcambre F, et al. Assessment of spontaneous pneumomediastinum: experience with 12 patients. The Annals of Thoracic Surgery. 2003 Jun 30;75(6):1711-4.
- Shuttleworth E, Sawyer R, Holland M, Cooksley T. The perils of grandmas medication: colchicine toxicity causing pneumomediastinum. Acute Medicine 2014; 13(4): 171-3
- Gerazounis M, Athanassiadi K, Kalantzi N, et al. Spontaneous pneumomediastinum: a rare benign entity. The Journal of Thoracic and Cardiovascular Surgery. 2003 Sep 30;126(3):774-6.
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