E. Ulaş SAZ, Ali YURTSEVEN

Dikkat; wheezing ve boyun ağrısı birlikteliği spontan pnömomediastinumun erken tanısı için işaret olabilir

Spontan pnömomediastinum (SPM) pediatrik yaş grubunda sık görülmeyen klinik durumlardandır. Burada ilk hışıltı atağı ile komplikeolan iki pediatrik spontan pnömomediastinum olgusu sunulmuştur. Altta yatan herhangi bir hastalık olup olmadığını araştırmak içinyapılan tetkiklerde herhangi bir kronik hastalık varlığı tespit edilmemiştir. İntraalveoler ve interstisyel basınç gradiyentinin artmasınabağlı olarak pnömomediastinum en sık astımlı çocuklarda görülmektedir. Çocukluk çağında sık geçirilen solunum yolu infeksiyonlarıSPM için predispozisyon oluşturur. Bunun da nedeni tıkanmış hava yollarındaki artmış basınç ya da parankimal infeksiyondan kaynaklanandoku nekrozudur.

Red flag; wheezing with neck pain may be a clue to the early diagnosis of spontaneous pneumomediastinum

Spontaneous pneumomediastinum is an uncommon clinical condition in pediatric field. We report two pediatric cases with first timewheezing episode complicated by pneumomediastinum. Investigations failed to reveal any underlying cause for secondarypneumomediastinum. Pneumomediastinum most commonly occurs in asthmatic children. It can be explained by increased pressuregradient between the intraalveolar and interstitial spaces. We conclude that high prevalence of respiratory infections in childrenpredisposes for spontaneous pneumomediastinum due to increased pressure within obstructed airways, or by tissue necrosis fromparenchymal infection.

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