title: Spontaneous pneumomediastinum: A rare complication of methamphetamine use.
abstract: OBJECTIVE
  To present an unusual case of spontaneous pneumomediastinum subsequent to recreational amphetamine use.
  
  
  METHODS
  A young African American adult male was admitted to internal medicine service for treatment of rhabdomyolysis secondary to methamphetamine use. On admission, he was complaining of chest pain in addition to nausea and generalized muscle aches. By his second hospital day, chest pain had resolved yet physical exam demonstrated crepitation of the anterior chest and left axilla. Portable chest x-ray revealed subcutaneous emphysema in addition to pneumomediastinum.
  
  
  CONCLUSIONS
  Spontaneous pneumomediastinum is a rare complication of amphetamine use that is often associated with subcutaneous emphysema and can be diagnosed with chest x-ray. Management is conservative, with observation, pain control, and supplemental oxygen as needed.
authors.affiliation: Department of Internal Medicine, University of Nevada School of Medicine, Las Vegas, NV, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Albanese
authors.affiliation: Department of Internal Medicine, University of Nevada School of Medicine, Las Vegas, NV, USA.
authors.forename: Cole
authors.initials: C
authors.lastname: Gross
authors.affiliation: Department of Internal Medicine, University of Nevada School of Medicine, Las Vegas, NV, USA.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Azab
authors.affiliation: Department of Internal Medicine, University of Nevada School of Medicine, Las Vegas, NV, USA.
authors.forename: Sinziana
authors.initials: S
authors.lastname: Mahalean
authors.affiliation: Department of Internal Medicine, University of Nevada School of Medicine, Las Vegas, NV, USA.
authors.forename: Ranjit
authors.initials: R
authors.lastname: Makar
keywords: Methamphetamine use; Pneumomediastinum; Subcutaneous emphysema