Spontaneous Pneumothorax, Pneumomediastinum, and Pneumopericardium in an HIV Patient With Tuberculosis: A Rare Trio.
| Autor: | G J; Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Narayanan S; Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Kumar S; Hospital Medicine and Critical Care, Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Banjade M; Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND., Bairwa M; Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Apr 17; Vol. 16 (4), pp. e58440. Date of Electronic Publication: 2024 Apr 17 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.58440 |
| Abstrakt: | A trio of spontaneous pneumomediastinum, pneumopericardium, and pneumothorax is a highly unusual presentation. The majority of reported cases are due to trauma, while the remaining cases are iatrogenic. Among infections, this trio has so far been reported in COVID-19 pneumonia and pneumocystis pneumonia in HIV-positive patients. There are case reports on pneumothorax and pneumomediastinum in tuberculosis, but the trio is not reported. Here, we present a case of a recently diagnosed HIV-positive patient with complaints of cough and shortness of breath whose initial workup was negative for Mycobacterium. The patient was, however, started on antitubercular drugs based on clinical radiological evidence. He developed spontaneous pneumothorax, pneumomediastinum, and pneumopericardium, and repeat bronchoalveolar lavage (BAL) came positive for Mycobacterium. The patient, however, could not be revived and succumbed to obstructive and septic shock. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, G et al.) |
| Databáze: | MEDLINE |
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