COVID-19 pneumonia complicated by bilateral pneumothorax: A case report

Autor: Takaaki Shigematsu, Tsuyoshi Shirai, Kanae Ochiai, Kei Aoyagi, Takahiro Mitsumura, Moyu Kimura, Riku Yoshizuka, Junichi Takahashi, Taku Gemma, Koji Morishita, Kenichi Hondo, Tsukasa Okamoto, Yasuhiro Otomo, Nao Urushibata, Seishin Azuma, Yasunari Miyazaki, Hirokazu Sasaki, Junichi Aiboshi
Rok vydání: 2020
Předmět:
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
medicine.medical_treatment
Case Report
PEEP
positive end-expiratory pressure
SARS-CoV-2
severe acute respiratory syndrome coronavirus 2
03 medical and health sciences
PCR
polymerase chain reaction
0302 clinical medicine
medicine
SARS
severe acute respiratory syndrome
COVID-19
coronavirus disease 2019
lcsh:RC705-779
Mechanical ventilation
P/F
PaO2/fraction of inspired oxygen
Pneumatocele
business.industry
COVID-19
Pneumothorax
GGOs
ground-grass opacites
Pneumonia
lcsh:Diseases of the respiratory system
medicine.disease
respiratory tract diseases
Surgery
030228 respiratory system
Respiratory failure
030220 oncology & carcinogenesis
CRP
C-reactive protein
Breathing
Positive-pressure ventilation
Complication
business
Zdroj: Respiratory Medicine Case Reports, Vol 31, Iss, Pp 101230-(2020)
Respiratory Medicine Case Reports
ISSN: 2213-0071
Popis: Background Pneumothorax is a rare but life-threatening complication associated with pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Case presentation Informed consent was obtained from the patient himself.A 50-year-old man presented with a 9-day history of fever, cough, and dyspnoea. He was diagnosed with coronavirus disease 2019 (COVID-19) pneumonia and was admitted to the Medical Hospital, Tokyo Medical and Dental University. Chest CT showed diffuse patchy ground-glass opacities (GGOs). His state of oxygenation deteriorated, and mechanical ventilation was initiated on day 4 after admission (12th day from onset). He improved gradually and was weaned from ventilation on day 15. Sudden onset of bilateral pneumothorax occurred on day 21 with severe respiratory failure, and chest CT revealed pneumatocele formation on both lower lobes. Conclusions Pneumothorax is a notable complication in cases of severe COVID-19 pneumonia, especially in those who require positive-pressure ventilation.
Databáze: OpenAIRE
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