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Colegio de Medicina Interna de México.
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2021, Number 1

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Med Int Mex 2021; 37 (1)

Spontaneous pneumothorax and pneumomediastinum in patients with pneumonia due to COVID-19

Pérez-López KP, Moreno-Madrigal LG
Full text How to cite this article

Language: Spanish
References: 11
Page: 152-156
PDF size: 339.80 Kb.


Key words:

COVID-19, Pneumothorax, Pneumomediastinum.

ABSTRACT

Background: In patients infected with SARS-CoV-2, the presence of acute respiratory failure is generally secondary to acute respiratory distress syndrome. However, in these patients, other acute complications have been detected in the differential diagnosis, such as pulmonary embolism and pneumothorax, among others, which require a different therapeutic approach.
Clinical cases: We present two patients with COVID-19 complicated by spontaneous pneumothorax and one of them also with spontaneous pneumomediastinum, two conditions very rarely associated with this infection.
Conclusions: The best treatment is still to be established; its true incidence and whether the presence of these complications in this patient population is associated with greater severity remain to be established, although based on the limited evidence available in case reports, mortality appears to be higher. It is necessary to carry out more studies on this topic to clarify these unknowns and to be able to offer better medical care.


REFERENCES

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  2. Ucpinar BA, Sahin C, Yanc U. Spontaneous pneumothorax and subcutaneous emphysema in COVID-19 patient: Case report. J Infect Public Health 2020; 13: 887-889. https:// doi.org/10.1016/j.jiph.2020.05.012.

  3. Wang W, Gao R, Zheng Y, Jiang L. COVID-19 with spontaneous pneumothorax, pneumomediastinum and subcutaneous emphysema. J Travel Med 2020; 27 (5): 1-2. doi. 10.1093/jtm/taaa062.

  4. Alhakeem A, Khan MM, Al-Soub H, Yousaf Z. Case report: COVID-19 – Associated bilateral spontaneous pneumothorax – A literature review. Am J Trop Med Hyg 2020; 103 (3): 1162-1165. https://doi.org/10.4269/ajtmh.20-0680.

  5. Liu K, Zeng Y, Xie P, Ye X, et al. COVID-19 with cystic features on computed tomography: a case report. Medicine (Baltimore) 2020; 99 (18): e20175. http://doi.org/10.1097/ MD.0000000000020175.

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  8. Rampa L, Miceli A, Casilli F, Biraghi T, et al. Lung complication in COVID-19 convalescence: A spontaneous pneumothorax and pneumatocele case report. J Respir Dis Med 2020; 2: 1-3. doi. 10.15761/JRDM.1000115.

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  10. Spiro JE, Sisovic S, Ockert B, Böcker W, et al. Secondary tension pneumothorax in a COVID-19 pneumonia patient: a case report. Infection 2020; 48 (6): 941-944. https://doi. org/10.1007/s15010-020-01457-w.

  11. Aydin S, Öz G, Dumanli A, Balci A, et al. A case of spontaneous pneumothorax in Covid-19 pneumonia. J Surg Res 2020; 3 (2): 96-101. doi. 10.26502/jsr.10020060.




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Med Int Mex. 2021;37