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METHODS A 21 year old man was admitted to hospital as an emergency complaining of left sided chest pain. Chest radiograph revealed a complete non compressive left-sided pneumothorax which resolved following thoracic drainage. A more detailed history revealed repeated and regular use of nitrous oxide by inhalation, for its consciousness-altering effect during rave parties. CONCLUSIONS The principal side effects occurring as a consequence of repeated exposures to nitrous oxide are haematological, neuropsychiatric and teratogenic. Rare cases of pneumothorax have been described associated with the use of nitrous oxide occurring as complications of anaesthesia or during laparoscopy where gas diffuses from the abdominal to the pleural cavity. Illicit use of nitrous oxide is rare and usually occurs in medical workers. Its spreading to the public may lead to accidents and unanticipated side effects. CONCLUSIONS Inhaled nitrous oxide can reveal asymptomatic pneumothorax by worsening it. The consequences can be dramatic in case of illicit use because of ignorance of side effects.
L Garbaz, and
D Mispelaere, and
M Boutemy, and
V Jounieaux
December 2021,
British journal of hospital medicine (London, England : 2005),
L Garbaz, and
D Mispelaere, and
M Boutemy, and
V Jounieaux
May 2018,
The Journal of emergency medicine,
L Garbaz, and
D Mispelaere, and
M Boutemy, and
V Jounieaux
August 2016,
British journal of hospital medicine (London, England : 2005),
L Garbaz, and
D Mispelaere, and
M Boutemy, and
V Jounieaux
January 2016,
Case reports in gastrointestinal medicine,
L Garbaz, and
D Mispelaere, and
M Boutemy, and
V Jounieaux
September 2015,
BMJ case reports,
L Garbaz, and
D Mispelaere, and
M Boutemy, and
V Jounieaux
February 2018,
Thorax,
L Garbaz, and
D Mispelaere, and
M Boutemy, and
V Jounieaux
April 1873,
The American journal of dental science,
L Garbaz, and
D Mispelaere, and
M Boutemy, and
V Jounieaux
January 2023,
Upsala journal of medical sciences,
L Garbaz, and
D Mispelaere, and
M Boutemy, and
V Jounieaux
September 2022,
BMJ (Clinical research ed.),
L Garbaz, and
D Mispelaere, and
M Boutemy, and
V Jounieaux
March 1979,
Journal of the American Dental Association (1939),
