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X-ray chest and abdomen on day 3 of bite after insertion of chest tube as shown by arrows.

X-ray chest and abdomen on day 3 of bite after insertion of chest tube as shown by arrows.

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Insect bites cause a variety of manifestations ranging from local irritation to systemic effects like anaphylaxis, multi organ failure and death. We present a case of subcutaneous emphysema, pneumothorax, pneumomediastinum and acute liver injury after multiple hornet bites in a pediatric patient. Such cases are rare. However, timely management with...

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... Diffuse and marked subcutaneous soft tissue emphysema throughout the neck, chest and abdomen. After looking at CT findings, chest tube insertion was done in the triangle of safety of the left side under aseptic conditions and connected to a water seal. Chest X-ray was done after the procedure to confirm the position of the tube (Fig. 4) Then, treatment was continued with IV medications in the PICU and was monitored regularly. On the 5th day of chest tube insertion, the chest tube was removed (Fig. 5) and the patient was shifted to the pediatric ward on the 7th ...