Spontaneous pneumomediastinum, pneumothorax and subcutaneous emphysema in COVID-19 pneumonia: a rare case and literature review

被引:67
作者
Elhakim, Tarig Sami [1 ,2 ]
Abdul, Haleem S. [1 ,2 ]
Romero, Carlos Pelaez [1 ,2 ]
Rodriguez-Fuentes, Yoandy [2 ]
机构
[1] Nova Southeastern Univ, Dept Med Educ, Ft Lauderdale, FL 33314 USA
[2] Kendall Reg Med Ctr, Dept Internal Med, Miami, FL USA
关键词
infectious diseases; pneumonia (infectious disease); pneumomediastinum; respiratory medicine; CORONAVIRUS DISEASE 2019; CLINICAL CHARACTERISTICS; MEDIASTINAL EMPHYSEMA; UNUSUAL COMPLICATION; INFLUENZA; PNEUMOPERICARDIUM; PATIENT; WUHAN;
D O I
10.1136/bcr-2020-239489
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Spontaneous pneumomediastinum (SPM) and pneumothorax (PNX) unrelated to positive pressure ventilation has been recently reported as an unusual complication in cases of severe COVID-19 pneumonia. The presumed pathophysiological mechanism is diffuse alveolar injury leading to alveolar rupture and air leak. We present a case of COVID-19 pneumonia complicated on day 13 post admission by SPM, PNX and subcutaneous emphysema in a patient with no identifiable risk factors for such complication. The patient received medical treatment for his COVID-19 infection without the use of an invasive or non-invasive ventilator. Moreover, he is a non-smoker with no lung comorbidities and never reported a cough. He was eventually discharged home in stable condition. A comprehensive literature review revealed 15 cases of SPM developing in patients with COVID-19 pneumonia.
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页数:7
相关论文
共 63 条
[1]   IMAGING DIAGNOSIS-SPONTANEOUS PNEUMOMEDIASTINUM SECONDARY TO PRIMARY PULMONARY PATHOLOGY IN A DALMATIAN DOG [J].
Agut, Amalia ;
Talavera, Jesus ;
Buendia, Antonio ;
Anson, Agustina ;
Santarelli, Giorgia ;
Gomez, Serafin .
VETERINARY RADIOLOGY & ULTRASOUND, 2015, 56 (05) :E54-E57
[2]  
Allen Casey J, 2015, Acute Card Care, V17, P20, DOI 10.3109/17482941.2015.1005103
[3]  
Almeida JD, 1968, NATURE, V220, P650
[4]  
[Anonymous], 2011, KOREAN J MED, V80, DOI 10.3904/kjim.2001.16.3.205
[5]   Air Within the Spinal Canal in Spontaneous Pneumomediastinum [J].
Belotti, Eva A. ;
Rizzi, Mattia ;
Rodoni-Cassis, Paola ;
Ragazzi, Monica ;
Zanolari-Caledrerari, Maura ;
Bianchetti, Mario G. .
CHEST, 2010, 137 (05) :1197-1200
[6]   Unusual presentations of COVID-19 pneumonia on CT scans with spontaneous pneumomediastinum and loculated pneumothorax: A report of two cases and a review of the literature. [J].
Brogna, Barbara ;
Bignardi, Elio ;
Salvatore, Petronilla ;
Alberigo, Martino ;
Brogna, Claudia ;
Megliola, Antonia ;
Fontanella, Giovanni ;
Mazza, Emerico Maria ;
Musto, Lanfranco .
HEART & LUNG, 2020, 49 (06) :864-868
[7]   SARS-CoV-2 Infection with Different Radiological Insights [J].
Brogna, Barbara ;
Brogna, Claudia ;
Martino, Alberigo ;
Minichiello, Stefana ;
Romeo, Domenico M. ;
Romano, Paolo ;
Bignardi, Elio ;
Mazza, Emerico Maria ;
Musto, Lanfranco .
DIAGNOSTICS, 2020, 10 (05)
[8]   Spontaneous pneumomediastinum: A comparative study and review of the literature [J].
Caceres, Manuel ;
Ali, Syed Z. ;
Braud, Rebecca ;
Weiman, Darryl ;
Garrett, H. Edward, Jr. .
ANNALS OF THORACIC SURGERY, 2008, 86 (03) :962-966
[9]  
Cascella M., 2021, EVALUATION TREATMENT, DOI DOI 10.1097/01.AOG.0000245442.29969.5c
[10]   Genomic characterization of the 2019 novel human-pathogenic coronavirus isolated from a patient with atypical pneumonia after visiting Wuhan [J].
Chan, Jasper Fuk-Woo ;
Kok, Kin-Hang ;
Zhu, Zheng ;
Chu, Hin ;
To, Kelvin Kai-Wang ;
Yuan, Shuofeng ;
Yuen, Kwok-Yung .
EMERGING MICROBES & INFECTIONS, 2020, 9 (01) :221-236