Abstract
Background and aims: Asthma is very common in pediatric admissions and its confusing with acute bronchiolitis in infants because of the similarity of signs and symptoms. Treatment of acute bronchiolitis may include the use of nasal CPAP. Aims: To describe the occurance of neck and upper chedt emphysema post nasal cpap use in an infant. Methods: Case report of subcutaneous emphysema post nCPAP in asthmatic infant and resolution aftrr discontinue CPAP and starting intravenous and continuous salbutamol nebulization. Results: The use of nCPAP in asthmatic infants may lead to air leak syndrome such as subcutaneous emphysema. Proper history taking revealed the history of recurrent wheezy chest responding to asthma therapy and when asthma treatment optimized the clinical condition improved and emphysema resolved. Conclusions: The use of nasal CPAP in asthmatic infant may lead to subcutaneous emphysema.
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