A Rare Case of Pneumomediastinum, Pneumoretroperitoneum and Subcutaneous Emphysema Due to Crystal Methamphetamine Abuse.

Q3 Medicine European journal of case reports in internal medicine Pub Date : 2024-12-09 eCollection Date: 2024-01-01 DOI:10.12890/2024_005058

Abdulmajeed K Abdulmajeed, Mansour O Almehrzi, Saba A Al-Bazzaz, Farah A Khalid, Sherif A Fathi, Ashraf F Hefny

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Abstract

Background: Crystal methamphetamine abuse is a growing concern due to its significant adverse effects on various organ systems.

Case description: This report presents a rare case of pneumomediastinum, pneumoretroperitoneum and subcutaneous emphysema resulting from crystal methamphetamine abuse. The exact mechanism linking methamphetamine abuse to pneumomediastinum remains ambiguous. Pneumomediastinum is uncommon with drug abuse, especially if it is smoked and the subject coughs against a closed glottis; however, it is rare to cause such severe presentation.

Conclusions: This report discusses the toxic effects of crystal methamphetamine on the respiratory system. It emphasises the importance of increased awareness among clinicians regarding these complications to facilitate timely intervention and prevent life-threatening outcomes.

Learning points: Pneumomediastinum, pneumoretroperitoneum and subcutaneous emphysema is a rare complication of crystal methamphetamine (ice) abuse.There is a need to increase awareness among clinicians regarding the potential severe pulmonary complications associated with methamphetamine abuse.

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滥用甲基苯丙胺致纵隔气肿、腹膜气肿及皮下肺气肿一例。

背景：晶体甲基苯丙胺滥用日益受到关注，因为它对各种器官系统有显著的不利影响。病例描述：本报告报告一例罕见的纵隔气肿、腹膜气肿及皮下肺气肿的晶体甲基苯丙胺滥用。甲基苯丙胺滥用与纵隔气肿之间的确切机制尚不清楚。纵隔气肿在药物滥用中并不常见，特别是如果吸烟并且受试者因声门紧闭而咳嗽；然而，引起如此严重的表现是罕见的。结论：本报告讨论了晶体甲基苯丙胺对呼吸系统的毒性作用。它强调提高临床医生对这些并发症的认识的重要性，以促进及时干预和预防危及生命的后果。学习要点：纵隔气肿、腹膜气肿和皮下肺气肿是滥用冰毒的罕见并发症。有必要提高临床医生对与甲基苯丙胺滥用有关的潜在严重肺部并发症的认识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European journal of case reports in internal medicine

CiteScore

2.10

自引率

0.00%

发文量

166

审稿时长

8 weeks

期刊介绍： The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.