To the Editor.—
Recently, three fascinating patients had unusual complications resulting from Jewish religious practices.Jewish religion has developed a set of practices and mores aimed at protecting health. We describe three syndromes that resulted from the observance of Jewish law and tradition.
Shofar-Blowing-Induced Interstitial Emphysema.—
According to the Bible, the Shofar, an animal's horn prepared for use as a musical instrument, is sounded on Rosh Hashanah and certain other times. Rosh Hashanah is designated as yom teruah ("a day of blowing") (Numbers 29:1). Together with the reed, the Shofar is one of the earliest musical instruments known to man that is still in use.A 17 year-old boy was admitted to Long Island Jewish-Hillside Medical Center with notable pain in the midline of the neck anteriorly and difficulty swallowing after his blowing of the Shofar. A roentgenogram of the chest and neck showed interstitial emphysema in the mediastinum and