Interact Cardiovasc Thorac Surg . Cavitary lung lesions and pneumothorax in a healthy patient with active coronavirus-19 (COVID-19) viral pneumonia

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Interact Cardiovasc Thorac Surg


. 2020 Dec 17;ivaa238.
doi: 10.1093/icvts/ivaa238. Online ahead of print.
Cavitary lung lesions and pneumothorax in a healthy patient with active coronavirus-19 (COVID-19) viral pneumonia


Amin Afrazi ¹ , Sylvana Garcia-Rodriguez ² , James D Maloney ¹ , Clinton T Morgan ¹



Affiliations

• PMID: 33332525
• DOI: 10.1093/icvts/ivaa238

Abstract

Severe respiratory sequelae drive morbidity-associated with coronavirus 2019 (COVID-19) disease. We report a case of COVID-19 pneumonia complicated by cavitary lesions and pneumothorax in a young healthy male. Pneumothorax management with catheter thoracostomy and rapid resolution of the cavitary lesions are described. An extensive work-up for other causes a cavitation was negative and the temporal correlation of the cavities with COVID-19 infection plus their rapid resolution suggest a direct relationship. We propose a mechanism for cavitation secondary to microangiopathy, a cause of cavitation in the vasculitides and a known feature of COVID-19.

Keywords: Cavitary; Coronavirus; Covid-19.