COVID-19 pneumonia complicated by bilateral pneumothorax: A case report
Date
2020Author
Shirai, Tsuyoshi
Mitsumura, Takahiro
Aoyagi, Kei
Okamoto, Tsukasa
Kimura, Moyu
Gemma, Taku
Shigematsu, Takaaki
Takahashi, Junichi
Azuma, Seishin
Yoshizuka, Riku
Sasaki, Hirokazu
Urushibata, Nao
Ochiai, Kanae
Hondo, Kenichi
Morishita, Koji
Aiboshi, Junichi
Otomo, Yasuhiro
Miyazaki, Yasunari
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Background: Pneumothorax is a rare but life-threatening complication associated with pneumonia caused by
severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
Case presentation: Informed consent was obtained from the patient himself.A 50-year-old man presented with a 9-
day history of fever, cough, and dyspnoea. He was diagnosed with coronavirus disease 2019 (COVID-19)
pneumonia and was admitted to the Medical Hospital, Tokyo Medical and Dental University. Chest CT showed
diffuse patchy ground-glass opacities (GGOs). His state of oxygenation deteriorated, and mechanical ventilation
was initiated on day 4 after admission (12th day from onset). He improved gradually and was weaned from
ventilation on day 15. Sudden onset of bilateral pneumothorax occurred on day 21 with severe respiratory
failure, and chest CT revealed pneumatocele formation on both lower lobes.
Conclusions: Pneumothorax is a notable complication in cases of severe COVID-19 pneumonia, especially in those
who require positive-pressure ventilation.
Palabras clave
COVID-19; Pneumonia; Positive-pressure ventilation; Pneumothorax; PneumatoceleLink to resource
https://doi.org/10.1016/j.rmcr.2020.101230Collections
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