Spontaneous Pneumomediastinum in COVID-19 patient: A Case Report

Year 2022, Volume: 12 Issue: 1, 159 - 161, 15.01.2022

Dilek Ergün , Recai Ergün , Nurettin Atalay , Fikret Kanat , Baykal Tülek

https://doi.org/10.16899/jcm.978752

Abstract

Abstract:Spontaneous pneumomediastinum has been reported as a rare complication in COVID-19 pneumonia. Symptoms in pneumomediastinum are usually nonspecific. A 36-year-old male patient was admitted to our clinic with shortness of breath, cough, and left flank pain. His computed tomographic (CT) examination of the thorax showed pneumomediastinum. The patient was accepted as COVID-19 pneumonia and related pneumomediastinum. This case was presented to emphasize that patients with severe Covid-19 pneumonia on computed tomography may develop pneumomediastinum during treatment.
Özet: COVID-19 pnömonisinde, spontan pnömomediastinum nadir gelişen bir komplikasyon olarak bildirilmiştir. Pnömomediastinumda semptomlar genellikle nonspesifiktir. Otuz altı yaşında erkek hasta nefes darlığı, öksürük, sol yan ağrısı ile kliniğimize kabul edildi. Takiplerinde çekilen Bilgisayarlı toraks tomografisinde mediastende hava dansiteleri izlendi. Hasta COVID-19 pnömonisi ve buna bağlı gelişen pnömomediastinum olarak kabul edildi. Bu olgu bilgisayarlı tomografide ağır Covid-19 pnömonisi olan hastalarda tedavi sırasında pnömomediastinum gelişebileceğini vurgulamak amacıyla sunulmuştur.

Keywords

COVID-19, Spontaneous Pneumomediastinum, SARS-COV-2

Project Number

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References

• 1. Coronaviridae Study Group of the International Committee on Taxonomy of Viruses. The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol. 2020 Apr;5(4):536-544. doi: 10.1038/s41564-020-0695-z.
• 2. Jain A, Talwar D, Kumar S. Spectrum of Respiratory Involvement in COVID 19 Era; An Overview. IJMTFM. 2020;14(4):6593-99.
• 3. Caceres M, Ali SZ, Braud R, Weiman D, Garrett HE Jr. Spontaneous pneumomediastinum: a comparative study and review of the literature. Ann Thorac Surg. 2008 Sep;86(3):962-6. doi: 10.1016/j.athoracsur.2008.04.067.
• 4. Goldman N, Ketheeswaran B, Wilson H. COVID-19-associated pneumomediastinum. Clin Med (Lond). 2020 Jul;20(4):e91-e92. doi: 10.7861/clinmed.2020-0247.
• 5. Zhou C, Gao C, Xie Y, Xu M. COVID-19 with spontaneous pneumomediastinum. The Lancet Infectious Diseases. 2020;20(4):510. doi: 10.1016/S1473-3099(20)30156-0.
• 6. Wali A, Rizzo V, Bille A, Routledge T, Chambers AJ. Pneumomediastinum following intubation in COVID-19 patients: a case series. Anaesthesia. 2020 Aug;75(8):1076-1081. doi: 10.1111/anae.15113.
• 7. Murayama S, Gibo S. Spontaneous pneumomediastinum and Macklin effect: Overview and appearance on computed tomography. World J Radiol. 2014 Nov 28;6(11):850-4. doi: 10.4329/wjr.v6.i11.850.
• 8. Fukushima K, Marut K, Kiyofuji C, Sugimoto M. Evaluation of the incidence of pneumothorax and background of patients with pneumothorax during noninvasive positive pressure ventilation. Nihon Kokyuki Gakkai Zasshi. 2008 Nov;46(11):870-4.
• 9. Shennib HF, Barkun AN, Matouk E, Blundell PE. Surgical decompression of a tension pneumomediastinum. A ventilatory complication of status asthmaticus. Chest. 1988 Jun;93(6):1301-2. doi: 10.1378/chest.93.6.1301.
• 10. Durukan P, Tekin İ, Yakar S, Salt O, Baykan N, Ozkan S. Spontaneous pneumomediastinum: Case report. Gazi Medical Journal, 2017;28(4):275-277. Doi: 10.12996/gmj.2017.83.
• 11. Gralinski LE, Baric RS. Molecular pathology of emerging coronavirus infections. J Pathol. 2015 Jan;235(2):185-95. doi: 10.1002/path.4454.
• 12. Lemmers DHL, Abu Hilal M, Bnà C, et all. Pneumomediastinum and subcutaneous emphysema in COVID-19: barotrauma or lung frailty? ERJ Open Res. 2020 Nov 16;6(4):00385-2020. doi: 10.1183/23120541.00385-2020.
• 13. Kouritas VK, Papagiannopoulos K, Lazaridis G, et all. Pneumomediastinum. J Thorac Dis. 2015 Feb;7(Suppl 1):S44-9. doi: 10.3978/j.issn.2072-1439.2015.01.11.
• 14. Chu CM, Leung YY, Hui JY, et all. Spontaneous pneumomediastinum in patients with severe acute respiratory syndrome. Eur Respir J. 2004 Jun;23(6):802-4. doi: 10.1183/09031936.04.00096404.