title: [Spontaneous pneumomediastinum secondary to inhalation of crack].
abstract: The use of cocaine causes numerous cardiovascular and pulmonary side effects. In this context, the occurrence of a pneumomediastinum represents a specific complication, often misunderstood by primary care physicians. We describe here on case of patient who suffered from subcutaneous emphysema and pneumomediastinum after smoking "crack". We emphasize the importance of always keeping in mind the possibility of illicit substance use in such cases, especially among young and healthy patients. A short observation period with outpatient follow-up is appropriate in the majority of patients. Invasive procedures have a low yield and should be based on a high degree of clinical suspicion for esophageal rupture or bronchial tree laceration.
authors.affiliation: Service d'anesthésie et de réanimation, hôpital de la Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 5, France. Electronic address: Valerybenjamin.blasco@ap-hm.fr.
authors.forename: V
authors.initials: V
authors.lastname: Blasco
authors.affiliation: Service d'anesthésie et de réanimation, hôpital de la Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 5, France.
authors.forename: C
authors.initials: C
authors.lastname: Nafati
authors.affiliation: Service d'anesthésie et de réanimation, hôpital de la Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 5, France.
authors.forename: L
authors.initials: L
authors.lastname: Reydellet
authors.affiliation: Service d'anesthésie et de réanimation, hôpital de la Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 5, France.
authors.forename: K
authors.initials: K
authors.lastname: Harti-Souab
authors.affiliation: Service d'anesthésie et de réanimation, hôpital de la Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13385 Marseille cedex 5, France; Aix Marseille université, 13005 Marseille, France.
authors.forename: J
authors.initials: J
authors.lastname: Albanèse
mesh_terms: D000280:Administration, Inhalation; D016578:Crack Cocaine / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000139:chemically induced* / Q000628:therapy; D013352:Subcutaneous Emphysema / Q000139:chemically induced / Q000628:therapy; D014636:Valsalva Maneuver; D055815:Young Adult
chemical_list: D016578:Crack Cocaine
keywords: Cocaine; Cocaïne; Crack; Emphysema; Emphysème; Pneumomediastinum; Pneumomédiastin