tetano
Editor, Senior Moderator
Respir Med Case Rep
. 2020 Oct 21;101265.
doi: 10.1016/j.rmcr.2020.101265. Online ahead of print.
Pneumothorax In Covid-19 Pneumonia: A Case Series
Mansoor Hameed[SUP] 1 2 [/SUP], Wasim Jamal[SUP] 3 2 [/SUP], Muhammad Yousaf[SUP] 3 2 [/SUP], Merlin Thomas[SUP] 1 2 [/SUP], Irfan Ul Haq[SUP] 1 [/SUP], Shakeel Ahmed[SUP] 1 [/SUP], Mushtaq Ahmed[SUP] 1 2 [/SUP], Mohamad Khatib[SUP] 3 2 [/SUP]
Affiliations
Abstract
Background: Coronavirus disease 2019 (Covid-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It mainly affects the lungs and common symptoms are fever, cough and shortness of breath. Pneumothorax has been noted to complicate Covid-19 cases requiring hospital admission, however the exact incidence and risk factors are still unknown.
Discussion: We present a series of 3 cases of primary spontaneous pneumothorax with Covid-19 pneumonia. All cases in our series did not require positive pressure ventilation and none had any pre-existing lung disease. All were never smokers and had favourable outcomes despite having severe Covid-19 with a pneumothorax during the course of the disease. In our literature review we discuss several plausible mechanisms and risk factors resulting in a pneumothorax with Covid-19.
Conclusion: Our cases are a reminder that an acute deterioration with hypoxia in a Covid-19 patient could indicate a pneumothorax. Pneumothorax is one of the reported complications in Covid-19 and clinician vigilance is required during assessment of patients, as both share the common symptom of breathlessness and therefore can mimic each other.
Keywords: 19. Computed tomography. SARS-CoV -2; Pneumothorax. Covid.
. 2020 Oct 21;101265.
doi: 10.1016/j.rmcr.2020.101265. Online ahead of print.
Pneumothorax In Covid-19 Pneumonia: A Case Series
Mansoor Hameed[SUP] 1 2 [/SUP], Wasim Jamal[SUP] 3 2 [/SUP], Muhammad Yousaf[SUP] 3 2 [/SUP], Merlin Thomas[SUP] 1 2 [/SUP], Irfan Ul Haq[SUP] 1 [/SUP], Shakeel Ahmed[SUP] 1 [/SUP], Mushtaq Ahmed[SUP] 1 2 [/SUP], Mohamad Khatib[SUP] 3 2 [/SUP]
Affiliations
- PMID: 33101895
- PMCID: PMC7576439
- DOI: 10.1016/j.rmcr.2020.101265
Abstract
Background: Coronavirus disease 2019 (Covid-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It mainly affects the lungs and common symptoms are fever, cough and shortness of breath. Pneumothorax has been noted to complicate Covid-19 cases requiring hospital admission, however the exact incidence and risk factors are still unknown.
Discussion: We present a series of 3 cases of primary spontaneous pneumothorax with Covid-19 pneumonia. All cases in our series did not require positive pressure ventilation and none had any pre-existing lung disease. All were never smokers and had favourable outcomes despite having severe Covid-19 with a pneumothorax during the course of the disease. In our literature review we discuss several plausible mechanisms and risk factors resulting in a pneumothorax with Covid-19.
Conclusion: Our cases are a reminder that an acute deterioration with hypoxia in a Covid-19 patient could indicate a pneumothorax. Pneumothorax is one of the reported complications in Covid-19 and clinician vigilance is required during assessment of patients, as both share the common symptom of breathlessness and therefore can mimic each other.
Keywords: 19. Computed tomography. SARS-CoV -2; Pneumothorax. Covid.