tetano
Editor, Senior Moderator
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[SUP] 1 [/SUP], Sylvana Garcia-Rodriguez[SUP] 2 [/SUP], James D Maloney[SUP] 1 [/SUP], Clinton T Morgan[SUP] 1 [/SUP]
Affiliations
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.
. 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[SUP] 1 [/SUP], Sylvana Garcia-Rodriguez[SUP] 2 [/SUP], James D Maloney[SUP] 1 [/SUP], Clinton T Morgan[SUP] 1 [/SUP]
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.