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2022, Number 1

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Rev cubana med 2022; 61 (1)

Sponteneous pneumomediastinum in patient with COVID-19

Fernández GS, Cortes MÁ, Fontecha GL

Language: Spanish
References: 13
Page: 1-7
PDF size: 267.40 Kb.


ABSTRACT

Introduction: Spontaneous pneumomediastinum or Hamman syndrome is a rare and infrequent complication. It is defined as the presence of air or gas within the mediastinum without an identified cause.
Objective: To report a clinical case of spontaneous pneumomediastinum in a patient with COVID-2019, a disease with a rare complication.
Clinical case report: We report the case of an 86-year-old patient with a clinical condicion of fever of 38o C and respiratory symptoms (cough with whitish secretions, dyspnea on moderate exertion). He underwent a polymerase chain reaction test for coronavirus disease 2019, which resulted positive. On the fourth day of his hospitalization, he his clinical condition worsened, including cough and progressive dyspnea accompanied by oxygen saturation less than 91%. The presence of pneumomediastinum was revealed by high-resolution imaging studies (computed tomography angiography of the chest).
Discussion: The 2019 coronavirus disease pandemic has given rise to a global public health emergency, which requires health personnel to be familiar with symptoms, imaging results, and complications of this disease, such as pneumomediastinum found in this case.
Conclution: Spontaneous pneumomediastinum is a rare complication that occurs in the inflammatory phase of this disease.


REFERENCES

  1. Lv M, Luo X, Estill J, Liu Y, Ren M, Wang J, et al. Coronavirus disease (COVID-19): a scoping review. Euro Surveill. 2020;25:2000125. DOI: https:/doi.org/10.2807/1560-7917.ES.15.2000125

  2. Yang W, Sirajuddin A, Zhang X, Liu G, Teng Z, Zhao S, et al. The role of imaging in 2019 novel coronavirus pneumonia (COVID-19). Eur Radiol. 2020;30. DOI: http://dx.doi.org/10.1007/s00330-020-06827-4

  3. Yang Q, Liu Q, Xu H, Lu H, Liu S, Li H. Imaging of coronavirus disease 2019: A Chinese expert consensus statement. Eur J Radiol. 2020;127:109008. DOI: http://dx.doi.org/10.1016/j.ejrad.2020.109008

  4. Macia I, Moya J, Ramos R, Morera R, Escobar I, Saumench J, et al. Spontaneous pneumomediastinum: 41 cases. European journal of cardio-thoracic surgery. 2007[acceso: 03/09/2021]; 31:1110-4. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/17420139/

  5. Meireles J, Neves S, Castro A, Franc AM. Spontaneous Pneumomediastinum revisited. Respir Med CME. 2011[acceso: 03/09/2021];4(4):181-83. Disponible en: Disponible en: https://www.sciencedirect.com/science/article/pii/S1755001711000297

  6. 6 . Varela M. Neumomediastino y enfisema subcutáneo en relación con la pandemia por SARS-CoV-2. Med Gen Fam. 2020[acceso: 03/09/2021];9(3):162-64. Disponible en: Disponible en: http://mgyf.org/neumomediastino-y-enfisema-subcutaneo-en-relacion-con-la-pandemia-por-sars-cov-2/

  7. Yang X, Yu Y, Xu J. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study, Lancet Respir Med. 2020[acceso: 03/09/2021];8(5):475-81. Disponible en: :Disponible en: :https://pubmed.ncbi.nlm.nih.gov/32105632/

  8. Marasco RD, Loizzi D, Ardo NP, Fatone FN, Sollitto F. Spontaneous pneumomediastinum after electronic cigarette use, Ann. Thorac. Surg. 2018[acceso: 03/09/2021];105:269-71. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/29382507/

  9. Newcomb AE, Clarke CP. Spontaneous pneumomediastinum. Chest. 2005;128(5):3298-302, DOI: https://doi.org/10.1378/chest.128.5.3298

  10. Murayama S, Gibo S. Spontaneous pneumomediastinum and Macklin effect: overview and appearance on computed tomography. World J. Radiol. 2014;6(11):850-54. DOI: https://doi.org/10.4329/wjr.v6.i11.850

  11. Kouritas VK, Papagiannopoulos K, Lazaridis G. Pneumomediastinum, J. Thorac. Dis. 2015;7(Suppl 1):44-49. Disponible en: https://jtd.amegroups.com/article/view/3910/html

  12. Chassagnon G, Favelle O, Derogis V, Cottier JP. Spontaneous pneumomediasti-num due to the Macklin effect: less is more. Intern Emerg Med. 2015[acceso: 03/09/2021];10:759-61, Disponible en: Disponible en: https://www.redalyc.org/pdf/662/66247013010.pdf

  13. Hasegawa M, Hashimoto K, Morozumi M, Ubukata K, Takahashi T, Inamo Y. Spontaneous pneumomediastinum complicating pneumonia in children infec-ted with the 2009 pandemic influenza A (H1N1) virus. Clin Microbiol Infect. 2010[acceso: 03/09/2021];16:195-9. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/19832702/




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