[Spontaneous pneumomediastinum in a 4-month-old boy].
Spontaneous pneumomediastinum is a rare entity in children, especially in young infants. We report the case of a 4-month-old infant with a massive spontaneous pneumomediastinum caused by acute viral bronchiolitis. Treatment including bed rest, codeine for its antitussive action, and nitrogen washout resolved the pneumomediastinum within 3 days. In the literature, cases of pneumomediastinum in very young infants are exceptional. To our knowledge, codeine has never been used in this situation. Nitrogen washout is also rarely used because of poorly demonstrated efficacy.
Unité de médecine infantile, CHU Timone-Enfants, 264, rue Sainte-Pierre, 13385 Marseille cedex 05, France.
C
C
Oudin
C
C
Halbert
E
E
Bosdure
K
K
Arlaud
B
B
Chabrol
J-C
JC
Dubus
D006801:Humans; D007223:Infant; D008297:Male; D008478:Mediastinal Emphysema / Q000628:therapy
Pneumomédiastin spontané chez un nourrisson de 4 mois.