COVID-19 Pneumonia Complicated by Pneumomediastinum: A Case Report

Abstract

Coronavirus disease 2019 (COVID-19) is a pandemic that spread rapidly around the world, causing an enormous overload on the health systems of the different affected countries. Among the many different manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, an uncommon complication is the development of pneumomediastinum.In the clinical case presented, the patient was diagnosed with COVID-19 pneumonia and due to severe refractory hypoxemia, she was submitted to therapy with non-invasive ventilation (NIV). After initial stabilization and improvement, there was unexpected clinical deterioration and pneumomediastinum was diagnosed. The purpose of this report is to highlight the importance of considering pneumomediastinum as a complication of COVID-19 pneumonia in cases subjected to non-invasive ventilation.

Right Ventricle Thrombus in a Massive Pulmonary Embolism COVID-19 Patient

“…In the present case, the patient was admitted at the end of 2020, to a secondary hospital in Portugal, at the peak second wave of COVID-19. The available resources were scarce, both human and material resources (echocardiogram was not usually available outside working hours, and its use on COVID-19 patients was very limited; hemodialysis was also not available for COVID-19 patients), and supply shortages of medical resources were even more exacerbated by disruptions to the global supply chain [ 20 , 21 ]. Nevertheless, reviewing the case, this patient should have had a contrast CT at admission.…”