Pneumatocele and cysts in a patient with severe acute respiratory syndrome coronavirus 2 infection

Brahmbhatt, Nishal; Tamimi, Omar; Ellison, Henry; Katta, Sai; Youssef, J. Georges; Cortes, Christopher; Gotur, Deepa

doi:10.1016/j.xjtc.2020.08.047

Cited by 12 publications

(13 citation statements)

References 5 publications

(6 reference statements)

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“…Positive pressure ventilation and ARDS increases the risk of development of pneumothorax as identifi ed in a number of case series, our patient did not have any of these risk factors [4]. Another important risk factor identifi ed is prolonged coughing [5].…”

Section: Discussionsupporting

confidence: 51%

Pneumatocele in COVID-19 Infection: A Harbor of Future Complications

Zahid¹,

Yaseen²,

Rashid³

2021

J Biomed Res Environ Sci

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The year 2020 has been marked by the pandemic caused by severe acute respiratory syndrome coronavirus 2(SARS CO-V-2) disease (COVID-19). The virus has infected millions of people around the world. Lung is the most commonly affected organ of body. Various radio-logical manifestation of disease on lungs reported so far include ground glass, consolidations. Cysts or pneumatocele have rarely been reported. We here present a case of patient who presented to us with a spontaneous pneumothorax and during surgery was found to have pneumatocele. The aim of the case here is to highlight the variety of ways COVID-19 can affect the lungs.

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Section: Discussionsupporting

confidence: 51%

Pneumatocele in COVID-19 Infection: A Harbor of Future Complications

Zahid¹,

Yaseen²,

Rashid³

2021

J Biomed Res Environ Sci

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“…As described by Brahmbhatt and colleagues, 4 COVID-19 can result in significant lung injury leading to substantial morbidity. Brahmbhatt and colleagues' manuscript COVID-19 and its parenchymal changes have been documented.…”

mentioning

confidence: 94%

“…In the current issue of Journal, Brahmbhatt and colleagues 4 provide a single case report describing a newly discovered, potential life-threatening complication, more specifically, pneumatocele and cyst formation in a patient following SARS-CoV2 infection with acute respiratory distress syndrome (ARDS). This is the first such report of this complication.…”

mentioning

confidence: 99%

“…This is the first such report of this complication. Brahmbhatt and colleagues 4 provide a detailed case report beginning with diagnosis and proceeding to the corrective clinical steps. Our cardiothoracic surgery community has become accustomed to equating COVID-19 computed tomography image findings as bilateral, peripheral/subpleural, or posterior ground-glass opacities with or without consolidations.…”

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confidence: 99%

“…The global community is rapidly realizing that the manifestations of COVID-19 infection have yet to be fully elucidated. To illustrate this point, Brahmbhatt and colleagues 4 describe their case of a 66-year-old female patient with SARS-CoV2 ARDS resulting in novel COVID-19-related complications. Their patient had several known high-risk factors for poor outcome with a course typical of those manifesting a rapid decline postinfection.…”

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confidence: 99%

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Commentary: Pneumatocele and cysts in a patient with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection—yet another new complication associated with coronavirus disease 2019 (COVID-19)

Ramzy¹

2020

JTCVS Techniques

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Post COVID-19 pneumo-hematocele: clinical presentation and treatment pathway

Chávez¹,

Pimienta-Ibarra

Máruquez-González

et al. 2022

Gen Thorac Cardiovasc Surg

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Objectives The appearance of characteristic pulmonary lesions has been noted after COVID-19, being described as post-COVID-19 pneumo-hematocele. The aim of this study is to describe the clinical, histopathologic, and imaging features of pneumo-hematocele and to suggest a treatment algorithm for these patients. Methods A retrospective study was performed in patients admitted with a diagnosis of SARS-CoV2 infection from March 2020 to September 2021 who presented a pneumo-hematocele on imaging studies. Clinical and demographic variables were recorded, and CT scans were analyzed. A secondary analysis was performed to estimate the risk provided by the pneumo-hematocele diameter of developing pneumothorax. Results 37 patients were diagnosed with pneumo-hematoceles, 97.3% were males with a median age of 41 ± 13 years and 51% were smokers. The mean diameter of the pneumatocele was 6.3 ± 2.8 cm; they were more common on the subpleural surface and in the inferior lobe. Thirty patients had ruptured pneumo-hematoceles and developed pneumothorax (81.1%); a total of 26 patients required surgery (70.3%). Lesions measuring 5 cm had a high risk of rupture (OR 6.8, CI 95% 1.1–42); those measuring 3 cm were prone to this complication. For each centimeter that the pneumo-hematocele diameter increases, the OR for rupture increases 1.5. Conclusions It appears that post-COVID-19 pneumo-hematocele occurs secondary to encapsulation of blood accumulation inside the lung, as a result of micro-capillary bleeding, with partial reabsorption of blood and subsequent air filling. We recommend surgery for patients with pneumo-hematoceles of 5 cm and those with persistent lesions of 3 cm. Trial registration Clinical Trial Registration: NCT05067881.

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Pneumatocele and cysts in a patient with severe acute respiratory syndrome coronavirus 2 infection

Abstract: CT chest images showing changes before and after COVID-19 infection.

Cited by 12 publications

References 5 publications

Pneumatocele in COVID-19 Infection: A Harbor of Future Complications

Pneumatocele in COVID-19 Infection: A Harbor of Future Complications

Commentary: Pneumatocele and cysts in a patient with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection—yet another new complication associated with coronavirus disease 2019 (COVID-19)

Post COVID-19 pneumo-hematocele: clinical presentation and treatment pathway

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