Pneumomediastinum: a rare manifestation of hypersensitivity pneumonitis in a patient presenting with unexplained breathlessness at the Borders General Hospital

Robert Grecian, Jakki Faccenda, Luis Ferrando

Research output: Contribution to journalComment/debate

Abstract / Description of output

A 48-year-old woman from the Scottish Borders presented to her general practitioner with exertional dyspnoea. There was a delay in diagnosis of the underlying respiratory condition, due to initial investigations being suggestive of cardiac disease. Subsequently, the patient developed clinical symptoms and signs of pneumomediastinum, which was discovered on radiological imaging. Detailed history-taking and further clinical testing confirmed the cause of this to be hypersensitivity pneumonitis due to sensitisation to pet birds. The patient was treated with high dose steroids and went on to make a good recovery. The birds were rehomed.

Original languageEnglish
JournalBMJ Case Reports
Volume2015
DOIs
Publication statusPublished - 7 Oct 2015

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