Pneumothorax as a late complication of COVID-19

Ferreira, João Guimarães; Rapparini, Cristiane; Gomes, Bruno Moreno; Pinto, Luiz Alexandre Cabral; Freire, Mário Sérgio da Silva e

doi:10.1590/s1678-9946202062061

Cited by 21 publications

(18 citation statements)

References 19 publications

(20 reference statements)

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“…Cases of spontaneous pneumothorax have been described in patients suffering from COVID-19 pneumonia . Pneumothoraces have been observed either as a first manifestation of the disease or in a later phase, especially in patients that necessitated orotracheal intubation and mechanical ventilation (31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49). The aim of this study is to systematically review all the cases of spontaneous pneumothorax that occurred in otherwise healthy patients with no underlying lung disease and who were not put under invasive mechanical ventilation and detect similarities and differences comparing to spontaneous pneumothorax encountered before the emergence of this new entity.…”

Section: Introductionmentioning

confidence: 99%

Pneumothorax in otherwise healthy non-intubated patients suffering from COVID-19 pneumonia: a systematic review

Agrafiotis¹,

Rummens²,

Lardinois³

2021

J Thorac Dis

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Background: Cases of spontaneous pneumothorax have been described in patients suffering from coronavirus disease 2019 (COVID-19) pneumonia. The aim of this study is to systematically review all the cases of spontaneous pneumothorax that occurred in healthy patients with no underlying lung disease and who did not receive invasive mechanical ventilation.Methods: A PubMed research was conducted. The following data were collected: age, sex, side of the pneumothorax, smoking habit, time form onset of symptoms to the diagnosis of pneumothorax, the development of new bullous lesions on computed tomography and the type of treatment. In order to analyze the most homogeneous population possible, intubated patients were deliberately excluded. In total, 44 cases of spontaneous pneumothorax in otherwise healthy patients were taken into account. Since the available data were extracted from small observational studies, no particular bias risk assessment was performed.Descriptive statistics were used to synthesize results.Results: There were 37 male (84.1%) and 6 female (13.6%) patients. The majority of patients (66%) were treated only by chest tube thoracostomy, which most of the times resulted in a complete resolution of the pneumothorax. Simple surveillance was applied in 10 cases. Three patients underwent minimally invasive surgery. In 14 cases (31.8%) air-filled lesions were detected on imaging. Eleven patients received corticosteroids during their hospital stay. In the majority of cases (86.3%) the pneumothorax was resolved.Discussion: Even if the level of evidence, derived from case reports and small case series is low, the existence of a true secondary spontaneous pneumothorax due to SARS-CoV-2 should be recognized.Imaging techniques should be repeated throughout the clinical course of the patients in order to detect newly developed pulmonary complications. Surgical treatment is feasible and patients whose general condition permits, should be offered surgery according to the existing guidelines regarding spontaneous pneumothorax. National registries and databases are necessary in order to better understand the pathogenesis and complications of this novel entity.

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Section: Introductionmentioning

confidence: 99%

Pneumothorax in otherwise healthy non-intubated patients suffering from COVID-19 pneumonia: a systematic review

Agrafiotis¹,

Rummens²,

Lardinois³

2021

J Thorac Dis

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“…Third, barotrauma related to the first intubation or central line trauma could also be a cause, but this is often associated with pneumo-mediastinum [9]. Fourth, pneumothorax may be linked to COVID-19 disease, although the PCR was negative [12][13][14]. Several case reports and literature reviews have shown a link between COVID-19 pneumopathy and pneumothorax and pneumomediastinum [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…Fourth, pneumothorax may be linked to COVID-19 disease, although the PCR was negative [12][13][14]. Several case reports and literature reviews have shown a link between COVID-19 pneumopathy and pneumothorax and pneumomediastinum [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…The mechanism for pneumothorax could involve the explosion of the alveoli during the disease, but pneumomediastinum is rather related to an underlying pathology, notably pre-existing emphysema [12][13][14]. One article has described a non-surgical pneumoperitoneum related to mechanical ventilation during COVID-19 pneumopathy but without associated pneumothorax or pneumomediastinum [15].…”

Section: Discussionmentioning

confidence: 99%

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Right-Sided Pneumothorax Associated with Pneumoperitoneum Subsequent to Transverse Colon Perforation: Case Report

Bénichou¹,

Owen²,

Kolanska³

et al. 2021

JSO

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Pneumothorax can be spontaneous or secondary to a pre-existing disorder or trauma. Pneumothorax associated with pneumoperitoneum without thoraco-abdominal communication is a rare event poorly described in the literature. We report the case of a 73-year-old patient undergoing abdominal debulking surgery for advanced stage ovarian cancer complicated by a pneumoperitoneum and a right-sided pneumothorax without hernia or evidence of diaphragmatic trauma. Several physio-pathological hypotheses have been suggested, including a potential COVID-19 infection without clear etiology. Our case report emphasizes the possible association of pneumothorax with pneumoperitoneum related to a colon perforation without visible diaphragmatic or mediastinal defects.

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“…Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel virus that has affected millions of individuals across the world. Coronavirus disease 2019 (COVID-19) was officially declared as a pandemic on March 11, 2020, with the increase in the number of cases and countries affected and the sustained risk of further global spread [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

A COVID-19 Patient Presenting with Pneumothorax

Abootalebi

Shorafa

Abbaspour

et al. 2021

Case Reports in Infectious Diseases

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel virus that has affected millions of individuals across the world. It was officially declared as a pandemic on March 11, 2020. Although most patients with COVID-19 manifest as viral pneumonia characterized by symptoms such as fever, dyspnea, and cough, atypical presentations such as acute respiratory distress syndrome (ARDS) and acute kidney or cardiac injury have been reported amongst COVID-19 patients. Bilateral and peripheral ground-glass and opacities are the hallmarks of COVID-19 infection on imaging exams. Herein, we aim to describe a COVID-19 patient who presented with shortness of breath, neck pain, chest pain, and bilateral pneumothorax in his imaging exam.

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Pneumothorax as a late complication of COVID-19

Abstract: This is an open-access article distributed under the terms of the Creative Commons Attribution License.

Cited by 21 publications

References 19 publications

Pneumothorax in otherwise healthy non-intubated patients suffering from COVID-19 pneumonia: a systematic review

Pneumothorax in otherwise healthy non-intubated patients suffering from COVID-19 pneumonia: a systematic review

Right-Sided Pneumothorax Associated with Pneumoperitoneum Subsequent to Transverse Colon Perforation: Case Report

A COVID-19 Patient Presenting with Pneumothorax

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