Pulmonary Barotrauma Including Huge Pulmonary Interstitial Emphysema in an Adult with Status Asthmaticus: Diagnostic and Therapeutic Challenges

  • Ahmed Khedher Medical Intensive Care Unit, Farhat Hached Hospital, Sousse, Tunisia
  • Khaoula Meddeb Medical Intensive Care Unit, Farhat Hached Hospital, Sousse, Tunisia
  • Nesrine Sma Medical intensive care unit of Farhat Hached Hospital, Sousse Tunisia
  • Abdelbaki Azouzi Medical Intensive Care Unit, Farhat Hached Hospital, Sousse, Tunisia
  • Nesrine Fraj Medical Intensive Care Unit, Farhat Hached Hospital, Sousse, Tunisia
  • Mohamed Boussarsar Medical Intensive Care Unit, Farhat Hached Hospital, Sousse, Tunisia

Keywords

Pulmonary interstitial emphysema, status asthmaticus, barotrauma, mechanical ventilation

Abstract

Introduction: Pulmonary interstitial emphysema is a rare finding defined as abnormal air collection inside the lung interstitial tissues. Described more frequently in ventilated new-borns, pulmonary interstitial emphysema is an uncommon barotrauma-related complication in adults. Management and clinical sequelae are poorly described.

Patient: We describe the case of a 64-year-old man who presented with huge pulmonary interstitial emphysema together with simultaneous pulmonary barotrauma in status asthmaticus requiring invasive ventilation.

Discussion: There are no guidelines for the management of such complications and their possible sequelae but conservative treatment seems to be effective. The treatment of our patient is described.

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  • Published: 2018-03-02

    Issue: Vol 5 No 5 (view)

    Section: Articles

    How to cite:
    Khedher, A., Meddeb, K., Sma, N., Azouzi, A., Fraj, N., & Boussarsar, M. (2018). Pulmonary Barotrauma Including Huge Pulmonary Interstitial Emphysema in an Adult with Status Asthmaticus: Diagnostic and Therapeutic Challenges. European Journal of Case Reports in Internal Medicine, 5(5). https://doi.org/https://doi.org/10.12890/2018_000823

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