Pneumothorax due to COVID-19: Analysis of case reports.
| Autor: | Cabrera Gaytán DA; Coordinación de Investigación en Salud, Instituto Mexicano del Seguro Social, Av. Cuauhtémoc # 330 Block 'B' 4° Floor, Annex to the Unidad de Congresos del Centro Médico Nacional Siglo XXI, Neighborhood Doctores, Alcaldía Cuauhtmoc, CP. 06720, Mexico City, Mexico., Pérez Andrade Y; Coordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Mier y Pesado No. 120, Neighborhood Del Valle Benito Juárez, CP. 03100, Mexico City, Mexico., Espíritu Valenzo Y; Hospital General Regional No. 72, Instituto Mexicano del Seguro Social, Av. Gustavo Baz Prada S/N, Neighborhood Centro Industrial Tlalnepantla, CP 54000, Tlalnepantla de Baz, Estado de México, Mexico. |
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| Jazyk: | angličtina |
| Zdroj: | Respiratory medicine case reports [Respir Med Case Rep] 2021; Vol. 34, pp. 101490. Date of Electronic Publication: 2021 Jul 26. |
| DOI: | 10.1016/j.rmcr.2021.101490 |
| Abstrakt: | Cases of pneumothorax/pneumomediastinum have been reported in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); however, the time to onset and hospital stay have rarely been studied. Coronavirus disease 2019 (COVID-19) patients with these complications are described to determine the time to onset, associated comorbidities, and location and duration of pneumothorax. A search in PubMed yielded simple frequencies and a bivariate analysis of deaths. There were 113 confirmed cases in 67 articles. The median time from the date of hospital admission to the presence of pneumothorax was 8 days. Right hemithorax was the most frequent form of pneumothorax. Almost half of the patients required intubation for invasive mechanical ventilation. Although the frequency of this phenomenon was not high among hospitalized patients with confirmed SARS-CoV-2, it was high among those who developed acute respiratory distress syndrome (ARDS). This study contributes to the literature because it presents a large number of patients who developed pneumothorax after admission, which was characterized by clinical deterioration (dyspnea, tachypnea, pleuritic chest pain, and subcutaneous emphysema) and low oxygen saturation levels. Pneumothorax/pneumomediastinum is recommended as a differential diagnosis, even without considering the presence of chronic pulmonary comorbidities or invasive mechanical ventilation. Competing Interests: None. (© 2021 Published by Elsevier Ltd.) |
| Databáze: | MEDLINE |
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