{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:59:17Z","timestamp":1753887557020,"version":"3.41.2"},"reference-count":24,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,1]]},"abstract":"<jats:p>A 3-month-old boy presented with a 3-hour history of a neck lump and difficulty breathing after 5 days of fever and reduced feeding. Pneumomediastinum with subcutaneous emphysema were identified, and the child was intubated because of severe work of breathing, requiring significant levels of oxygen and ventilatory pressure. Computed tomography chest scan revealed massive pneumomediastinum and significant bilateral parenchymal disease. The child deteriorated cardiovascularly, so the mediastinum was dissected by cardiothoracic surgeons and 2 drains were placed. The patient clinically improved with resolution of air leak over 2 days. A diagnosis of coronavirus disease 2019 pneumonia was confirmed.<\/jats:p>","DOI":"10.1542\/peds.2021-051904","type":"journal-article","created":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T08:30:45Z","timestamp":1630657845000},"source":"Crossref","is-referenced-by-count":7,"title":["Spontaneous Massive Pneumomediastinum in a Previously Well Infant With COVID-19"],"prefix":"10.1542","volume":"148","author":[{"given":"Anushri","family":"Dixit","sequence":"first","affiliation":[{"name":"aQueen Elizabeth Hospital and Lewisham and Greenwich National Health Service Trust, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Uvaise","sequence":"additional","affiliation":[{"name":"bPaediatric Intensive Care, Evelina London Children\u2019s Hospital and Guy\u2019s and St Thomas\u2019 National Health Service Foundation Trust, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Canet-Tarres","sequence":"additional","affiliation":[{"name":"bPaediatric Intensive Care, Evelina London Children\u2019s Hospital and Guy\u2019s and St Thomas\u2019 National Health Service Foundation Trust, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon","family":"Lillie","sequence":"additional","affiliation":[{"name":"bPaediatric Intensive Care, Evelina London Children\u2019s Hospital and Guy\u2019s and St Thomas\u2019 National Health Service Foundation Trust, London, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2021,12,1]]},"reference":[{"issue":"9","key":"2022081818560595100_B1","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1001\/jamapediatrics.2020.1467","article-title":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in children and adolescents: a systematic review","volume":"174","author":"Castagnoli","year":"2020","journal-title":"JAMA Pediatr"},{"issue":"9","key":"2022081818560595100_B2","doi-asserted-by":"crossref","first-page":"2469","DOI":"10.1093\/cid\/ciaa556","article-title":"SARS-CoV-2 (COVID-19): what do we know about children? 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