Two cases of spontaneous pneumomediastinum with pneumothorax in patients with COVID-19 associated pneumonia

Oye, Monique; Ali, Aleem Azal; Kandah, Fadi; Chowdhury, Nisha

doi:10.1016/j.rmcr.2020.101308

Cited by 10 publications

(12 citation statements)

References 4 publications

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“…Udi et al indicated in their study including patients with respiratory failure requiring mechanical ventilators that barotrauma was significantly higher in the Covid-19 pneumonia group compared to other, and they explained that this was due to the excess parenchymal restriction [6]. In our study, the spontaneous PT-PM / barotraumatic PT-PM ratio was 0.25 and it supported the inference by Udi et al Through the literature review, we have seen that the severity of pneumonia is excessive in patients who had pleural complications of Covid-19 pneumonia [10][11]14]. In our series, 80% of the patients had severe pneumonia in accordance with the literature.…”

Section: Discussionsupporting

confidence: 87%

The analysis of pleural complications of COVID-19 pneumonia

Türk¹,

Akarsu²,

Tombul³

et al. 2021

Turk J Med Sci

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Section: Discussionsupporting

confidence: 87%

The analysis of pleural complications of COVID-19 pneumonia

Türk¹,

Akarsu²,

Tombul³

et al. 2021

Turk J Med Sci

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“…The risk of development of SPM in COVID-19 patients has been associated with mechanical and non-invasive ventilation [ 16 , 17 , 18 ]. In addition, similarly to our patients 2 and 3, there are some reported cases of SPM in COVID-19 patients managed with HFNC [ 3 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ], whose contribution to the occurrence of SPM is still unclear. The aforesaid observations may confound the role that COVID-19 plays in the development of SPM.…”

Section: Discussionsupporting

confidence: 81%

Spontaneous pneumomediastinum and COVID-19 pneumonia: Report of three cases with emphasis on CT imaging

Kalpaxi

Kalokairinou

Katseli

et al. 2021

Radiology Case Reports

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Spontaneous pneumomediastinum (SPM) is a rare complication of coronavirus disease 2019 (COVID-19). The published literature consists mainly of case reports and small case series. There are still many questions regarding the pathogenesis, the prognostic significance and the implications on patient management. In our hospital three COVID-19 patients developed SPM: one on admission at the emergency department and the other two during hospitalization. In this study we describe their clinical course and computed tomography (CT) findings. All of them had severe disease according to the total severity score on admission CT. The management of pneumomediastinum was conservative and follow-up CT showed resolution in all patients. As the correlation between extension of parenchymal lung lesions and development of pneumomediastinum is still under investigation, we highlight the importance of reporting the severity score on chest CT in order to obtain more comparable results between different studies. Furthermore, in this tragic circumstance we also had the opportunity to familiarize ourselves with the otherwise uncommon occurrence of air along the bronchovascular sheaths (Macklin effect) and evaluate the ability of CT to detect it.

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“…1 ). Articles and case descriptions with as much information as possible were selected for analysis; therefore, not all case studies were selected [ [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] , [66] , [67] ...…”

Section: Methodsmentioning

confidence: 99%

Pneumothorax due to COVID-19: Analysis of case reports

Gaytán¹,

Andrade²,

Valenzo³

2021

Respiratory Medicine Case Reports

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Cases of pneumothorax/pneumomediastinum have been reported in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); however, the time to onset and hospital stay have rarely been studied. Coronavirus disease 2019 (COVID-19) patients with these complications are described to determine the time to onset, associated comorbidities, and location and duration of pneumothorax. A search in PubMed yielded simple frequencies and a bivariate analysis of deaths. There were 113 confirmed cases in 67 articles. The median time from the date of hospital admission to the presence of pneumothorax was 8 days. Right hemithorax was the most frequent form of pneumothorax. Almost half of the patients required intubation for invasive mechanical ventilation. Although the frequency of this phenomenon was not high among hospitalized patients with confirmed SARS-CoV-2, it was high among those who developed acute respiratory distress syndrome (ARDS). This study contributes to the literature because it presents a large number of patients who developed pneumothorax after admission, which was characterized by clinical deterioration (dyspnea, tachypnea, pleuritic chest pain, and subcutaneous emphysema) and low oxygen saturation levels. Pneumothorax/pneumomediastinum is recommended as a differential diagnosis, even without considering the presence of chronic pulmonary comorbidities or invasive mechanical ventilation.

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Two cases of spontaneous pneumomediastinum with pneumothorax in patients with COVID-19 associated pneumonia

Cited by 10 publications

References 4 publications

The analysis of pleural complications of COVID-19 pneumonia

The analysis of pleural complications of COVID-19 pneumonia

Spontaneous pneumomediastinum and COVID-19 pneumonia: Report of three cases with emphasis on CT imaging

Pneumothorax due to COVID-19: Analysis of case reports

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