Journals / Respiratory Case Reports / 2021 / Cilt: 10 - Sayı: 3

Spontaneous Pneumomediastinum without Pneumothorax in Non-ventilated COVID-19 Pneumonia: A Case Report

İnvazif-Non-İnvazif Ventilasyon Uygulanmayan COVID-19 Pnömonisinde Pnö- motoraks Olmadan Spontan Pnömomediastinum: Olgu Sunumu

Pages
202–207
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

SPM was detected on chest CT-angiography, and was unrelated to high- flow oxygen treatment

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Spontaneous pneumomediastinum (SPM) is among the rare complications of Coronavirus Disease-19 (COVID-19) and usually involves patients with a severe form of disease who are undergoing treatment with invasive/non-invasive ventilation or high-flow oxygen therapy.
📊
Key Findings & Data:A very low percentage of SPM cases are detected in non-ventilated COVID-patients, the underlying causes of which are still to be understood.
💡
Conclusion & Impact:SPM was detected on chest CT-angiography, and was unrelated to high- flow oxygen treatment
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Spontaneous pneumomediastinum (SPM) is among the rare complications of Coronavirus Disease-19 (COVID-19) and usually involves patients with a severe form of disease who are undergoing treatment with invasive/non-invasive ventilation or high-flow oxygen therapy. A very low percentage of SPM cases are detected in non-ventilated COVID-patients, the underlying causes of which are still to be understood. We report here on the case of a 65-year-old patient with no clinical history of cardiovascular or pulmo- nary disease who developed SPM within a few days following hospital admission. SPM was detected on chest CT-angiography, and was unrelated to high- flow oxygen treatment

Özet

Spontan pnömomediastinum (SPM) korona virüs (COVID-19) hastalığının nadir komplikasyonları arasında bulunmaktadır. Genellikle invazif / non- invazif ventilasyon veya yüksek akışlı oksijen tedavisi alan ve hastalığı ağır şekilde geçirmekte olan hasta- larda görülür. Ventilasyon kullanılmayan COVID-19 hastalarında çok düşük oranda SPM tespit edilmekte- dir. Ancak SPM gelişmesinin altında yatan nedenler hala tam olarak anlaşılmamıştır. Bu makalede 65 yaşında, klinik olarak kardiyovasküler veya pulmoner hastalık geçmişi olmayan, hastaneye yatışından son- raki birkaç gün içinde SPM gelişen bir olguyu sun- maktayız. Toraks BT-anjiyografisinde SPM tespit edil- miş olup yüksek akımlı oksijen tedavisi kullanmamış- tır.

🔖

Cite This Article

Giorgini, E., Greco, S., Coco, G. L., Giacalone, N., Sambo, P., Milite, M. T., Magalotti, G., Lanzi, A., Magnan, E., D’Ambrosio, R., Paolucc, E., Montaguti, L. (2022). Spontaneous Pneumomediastinum without Pneumothorax in Non-ventilated COVID-19 Pneumonia: A Case Report. Respiratory Case Reports, Cilt: 10 - Sayı: 3, 202–207. https://ajindex.com/articles/588914

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (2)

  1. World Health Organization. Naming the coronavirus di- sease (COVID-19) and the virus that causes it. World Health Organization 2020
  2. Zhang W, Zhao Y, Zhang F, Wang Q, Li T, Liu Z, et al. The use of anti-inflammatory drugs in the treatment of people with severe coronavirus disease 2019 (COVID- 19): The experience of clinical immunologists from China. Clin Immunol 2020; 214:108393. [CrossRef] 3. Channappanavar R, Perlman S. Pathogenic human coro- navirus infections: causes and consequences of cytokine storm and immunopathology. Semin Immunopathol 2017; 39:529-39. [CrossRef] 4. Li Y, Xia L. Coronavirus disease 2019 (COVID-19): Role of chest CT in diagnosis and management. Am J Roent- genol 2020; 214:1280-6. [CrossRef] 5. Tenda ED, Yulianti M, Asaf MM, Yunus RE, Septiyanti W, Wulani V, et al. The Importance of chest CT scan in COVID-19. Acta Med Indones 2020; 52:68-73 6. Yang Q, Liu Q, Xu H, Lu H, Liu S, Li H. Imaging of coro- navirus disease 2019: A Chinese expert consensus sta- tement. Eur. J. Radiol. 2020; 127:109008. [CrossRef] 7. Kouritas VK, Papagiannopoulos K, Lazaridis G, Baka S, Karavasilis V, Lampaki S, et al. Pneumomediastinum. J Thorac Dis 2015; 7(Suppl.1):S44-9. [CrossRef] 8. Alavian N, Stephens JR, DeWalt DA. Spontaneous pne- umomediastinum in a patient with COVID-19 pneumonia. J Gen Intern Med 2021; 1-2. [CrossRef] 9. Chekkoth SM, Supreeth RN, Valsala N, Kumar P, Raja RS. Spontaneous pneumomediastinum in H1N1 infection: uncommon complication of a common infection. J R Coll Physicians Edinb 2019; 49:298-300. [CrossRef] 10. Zhang X, Wang J, Zeng Q, Wu X, Jiang S, Shen J. Spon- taneous pneumomediastinum and subcutaneous emphy- sema in avian influenza A (H5N6) human pneumonia. Clin Case Rep 2019; 7:2594-5. [CrossRef] 11. Tutor JD, Montgomery VL, Eid NS. A case of influenza virus bronchiolitis complicated by pneumomediastinum and subcutaneous emphysema. Pediatr Pulmonol 1995; 19:393-5. [CrossRef] 12. Graham CA, Ong YS. Hamman sign. Can J Emerg Med 2010; 12:63. [CrossRef] 13. Macklin MT, Macklin CC. Malignant interstitial emphy- sema of the lungs and mediastinum as an important oc- cult complication in many respiratory diseases and other conditions: An interpretation of the clinical literature in the light of laboratory experiment. Med. (United States) 1944; 23:281-358. [CrossRef] 14. Mitsunaga T, Hasegawa I, Uzura M, Okuno K, Otani K, Ohtaki Y, et al. Comparison of the National Early War- ning Score (NEWS) and the Modified Early Warning Sco- re