Spontaneous subcutaneous emphysema: An uncommon presentation of a common disease

A 16-year-old female, non-smoker, presented to the Emergency Department (ED) with sudden onset swelling over the face, neck, chest, and upper abdomen for 2  days. She had history of intermittent low-grade fever and dry cough for 1 month prior to the presentation. There was no history of exposure to any organic or inorganic particulate. Primary survey was normal, except low oxygen saturation (SpO2) of 93% which improved to 99% with 6 L/min of oxyg en by face mask. On examination, there was swelling over the face, neck and torso with crepitus palpated all over the swollen area.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research