Spontaneous pneumomediastinum and subcutaneous emphysema in a non-intubated COVID-19 patient: a case report

Autor: Tahir Ahmed Jatoi, Anosh Aslam Khan, Osama Mohiuddin, Muhammad Saad Choudhry, Farah Yasmin, Sumeen Jalees
Jazyk: English<br />French
Rok vydání: 2021
Předmět:
Zdroj: The Pan African Medical Journal, Vol 38, Iss 37 (2021)
Druh dokumentu: article
ISSN: 1937-8688
DOI: 10.11604/pamj.2021.38.37.27543
Popis: The development of spontaneous pneumomediastinum and subcutaneous emphysema are few of the rare clinical manifestations observed in coronavirus disease-19 (COVID-19) patients which are yet to be fully understood. Most cases of spontaneous pneumomediastinum arises due to factors causing high intra-alveolar pressure. Herein, we report a case of a COVID-19 positive elderly male, who presented with spontaneous pneumomediastinum and subcutaneous emphysema unrelated to high-pressure ventilatory measures, detected on chest computed tomography (CT). Despite acute medical care, the patient progressed towards a more serious clinical course. Male gender and diffuse alveolar damage caused by COVID-19 seems to be the most relevant association in this case. However, we have enlightened other possible pathological mechanisms and their association with severity index of COVID-19.
Databáze: Directory of Open Access Journals