Persistent pneumomediastinum in interstitial fibrosis associated with rheumatoid arthritis: Treatment with high-concentration oxygen

Anshul Patel, Branko Kesler, Robert A. Wise

Research output: Contribution to journalArticlepeer-review

Abstract

We present a case of persistent spontaneous pneumomediastinum precipitated by an upper respiratory infection in a patient with interstitial fibrosis associated with rheumatoid arthritis who was receiving chronic corticosteroid treatment. The persistent nature of the mediastinal emphysema over 2 months eventually required treatment with high concentrations of inhaled oxygen that resulted in rapid resolution of the pneumomediastinum without recurrence over 6 months of follow-up. This case, along with others in the medical literature, emphasizes the need for early use of high- concentration inhaled oxygen in the treatment of pneumomediastinum in high- risk patients, such as those with connective tissue disorders.

Original languageEnglish (US)
Pages (from-to)1809-1813
Number of pages5
JournalCHEST
Volume117
Issue number6
DOIs
StatePublished - 2000

Keywords

  • Oxygen therapy
  • Pneumothorax
  • Pulmonary fibrosis
  • Rheumatoid arthritis
  • Spontaneous pneumomediastinum

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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