A Case of Severe H1N1 Pneumonia Complicated with Spontaneous Pneumomediastinum and Pneumothorax

Cases of spontaneous pneumomediastinum and spontaneous pneumothorax related with influenza A (H1N1) infection in adults are quite rare. The case presented here was a 33-year old female patient admitted to the emergency room with high fever, severe dyspnea, cough and altered consciousness. Pneumomediastinum and bilateral pneumothorax were detected on a chest roentgenogram and thoracic computerized tomography imaging. The H1N1 virus was identified in a nasal smear and in tracheal aspirate samples. Clinicians should be aware of this rare complication of the Influenza A virus that has started to be seen in literature.

Spontan Pnömomediastinum ve Pnömotoraksla Komplike Olan Aðýr H1N1 Pnömonisi Olgusu

Eriþkinlerde infuenza A ile iliþkili spontan pnömomediastinum ve spontan pnömotoraks olgularý oldukça nadirdir. Olgumuz acil servise yüksek ateþ, ciddi dispne, öksürük ve bilinç deðiþikliði ile baþvuran 33 yaþýnda bir kadýndý. Akciðer grafisi ve bilgisayarlý toraks tomografisinde pnömomediastinum ve bilateral pnömotoraks tespit edildi. Nazal sürüntü ve trakeal aspirasyon örneklerinde H1N1 virüsü tespit edildi. Klinisyenler literatürde görülmeye baþlayan Influenza A’nýn bu nadir komplikasyonu hakkýnda dikkatli olmalýdýrlar.