tetano
Editor, Senior Moderator
Cureus
. 2022 Aug 9;14(8):e27827.
doi: 10.7759/cureus.27827. eCollection 2022 Aug.
Hydropneumothorax Post COVID-19 Infection
Swetha Vennelaganti[SUP] 1 [/SUP], Aditya Sanjeevi[SUP] 2 [/SUP], Sathyamurthy P[SUP] 1 [/SUP], Basith Ahamed Nm[SUP] 1 [/SUP]
Affiliations
Abstract
A 32-year-old male presented to the hospital with chief complaints of fever, cough, and breathlessness for the past 4 days and was found to be positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). On arrival at the hospital, the patient required supplemental oxygen. In addition, injection enoxaparin 80 mg subcutaneous twice a day and injection methylprednisolone 40 mg IV twice a day were administered for 10 days. Following this, the patient reported symptomatic improvement and was shifted to the ward with O2 @ 2 L/min through nasal prongs. However, the same evening he complained of right-sided pleuritic chest pain and developed worsening hypoxemia. CT scan of the thorax confirmed the presence of hydropneumothorax with a mediastinal shift to the left side. An intercostal drain (ICD) was placed after shifting him to the intensive care unit (ICU); pleural fluid sent for analysis confirmed the presence of a secondary bacterial infection for which he was treated with appropriate parenteral antibiotics.
Keywords: acute worsening in covid-19; complications of covid-19; covid-19; hydropneumothorax; pleuritic pain in covid-19; steroids in covid-19.
. 2022 Aug 9;14(8):e27827.
doi: 10.7759/cureus.27827. eCollection 2022 Aug.
Hydropneumothorax Post COVID-19 Infection
Swetha Vennelaganti[SUP] 1 [/SUP], Aditya Sanjeevi[SUP] 2 [/SUP], Sathyamurthy P[SUP] 1 [/SUP], Basith Ahamed Nm[SUP] 1 [/SUP]
Affiliations
- PMID: 36106207
- PMCID: PMC9458023
- DOI: 10.7759/cureus.27827
Abstract
A 32-year-old male presented to the hospital with chief complaints of fever, cough, and breathlessness for the past 4 days and was found to be positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). On arrival at the hospital, the patient required supplemental oxygen. In addition, injection enoxaparin 80 mg subcutaneous twice a day and injection methylprednisolone 40 mg IV twice a day were administered for 10 days. Following this, the patient reported symptomatic improvement and was shifted to the ward with O2 @ 2 L/min through nasal prongs. However, the same evening he complained of right-sided pleuritic chest pain and developed worsening hypoxemia. CT scan of the thorax confirmed the presence of hydropneumothorax with a mediastinal shift to the left side. An intercostal drain (ICD) was placed after shifting him to the intensive care unit (ICU); pleural fluid sent for analysis confirmed the presence of a secondary bacterial infection for which he was treated with appropriate parenteral antibiotics.
Keywords: acute worsening in covid-19; complications of covid-19; covid-19; hydropneumothorax; pleuritic pain in covid-19; steroids in covid-19.