Spontaneous Massive Pneumomediastinum in a Previously Well Infant With COVID-19

Abstract

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Bilateral Spontaneous Pneumothorax in a Child with Multisystem Inflammatory Syndrome Associated with COVID-19

“…Our case did not receive any ventilation supports before pneumothorax diagnosis, reflecting that barotrauma could not be the cause of pneumothorax. Interestingly, in all similar cases (11)(12)(13)(14), barotrauma was also ruled out. One plausible explanation might be excessive coughing, which is common in COVID-19 patients.…”

“…Spontaneous pneumothorax can occur in people without (primary type) or with (secondary type) a pre-existing chronic lung disease or positive history of trauma (7). Although several cases of spontaneous pneumothorax are reported in COVID-19, mostly elderly male patients with underlying conditions (8,9); it is even rarer in pediatric COVID-19 patients (10) presented in a few case reports (11)(12)(13)(14). Moreover, bilateral spontaneous pneumothorax is reported much less than unilateral cases (11,14,15).…”

“…Although several cases of spontaneous pneumothorax are reported in COVID-19, mostly elderly male patients with underlying conditions (8,9); it is even rarer in pediatric COVID-19 patients (10) presented in a few case reports (11)(12)(13)(14). Moreover, bilateral spontaneous pneumothorax is reported much less than unilateral cases (11,14,15). Herein, we report the case of a five-year-old boy with MIS-C associated with COVID-19 who developed bilateral spontaneous pneumothorax during hospital admission.…”

Spontaneous Pneumomediastinum in a 16-Year-Old Patient with SARS-CoV-2 Infection: A North-East Romanian Case

“…The occurrence of SPM associated with COVID-19 infection in a previously well child is not well documented. As of March 2021, there were only three cases reported in the literature [ 14 ]: in the first case, P and P were attributed to a transbronchial biopsy; in the second case, a 9-year-old child developed COVID-19 and pneumomediastinum secondary to a craniectomy procedure. In this patient, high ventilatory pressure used during surgery could have contributed to barotrauma.…”

“…Clinical presentation: according to several studies [ 14 , 15 , 16 ], the most common symptoms and their frequency are represented by dyspnea (40%), cough (32%), neck pain (17%), odynophagia (14%), and dysphagia (10%). The chest pain is located behind the sternum and has a pleuritic feature (with exacerbation during deep inspiration).…”