Bilateral Spontaneous Pneumothorax in a COVID-19 and HIV-Positive Patient: A Case Report

Autor: Young Min Cho, Sara Guevara, Judith Aronsohn, James M. Mumford, Linda Shore-Lesserson, Santiago J. Miyara, Martin Herrera, Claudia Kirsch, Christine N. Metz, Stefanos Zafeiropoulos, Dimitrios Giannis, Alexia McCann-Molmenti, Kei Hayashida, Koichiro Shinozaki, Muhammad Shoaib, Rishabh C. Choudhary, Gabriel I. Aranalde, Lance B. Becker, Ernesto P. Molmenti, James Kruer, Anthony Hatoum
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Frontiers in Medicine, Vol 8 (2021)
Druh dokumentu: article
ISSN: 2296-858X
DOI: 10.3389/fmed.2021.698268
Popis: This case report describes a 60 year-old Black-American male with a past medical history of human immunodeficiency virus (HIV) infection and hyperthyroidism, who suffered a bilateral spontaneous pneumothorax (SP) in the setting of coronavirus disease 2019 (COVID-19) pneumonia. SP is a well-established complication in HIV-positive patients and only recently has been associated with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. While HIV and COVID-19 infections have been independently linked with increased risk of SP development, it is unknown if both infections interact in a synergistic fashion to exacerbate SP risk. According to the Centers for Disease Control and Prevention (CDC), patients living with HIV have a higher risk of developing severe COVID-19 infection and the mechanism remains to be elucidated. To the best of our knowledge, this is the first report of a HIV-positive patient, who in the setting of SARS-CoV-2 infection, developed bilateral apical spontaneous pneumothorax and was later found to have a left lower lobe tension pneumothorax. This case highlights the importance of considering SP on the differential diagnosis when HIV-positive patients suddenly develop respiratory distress in the setting of SARS-CoV-2 infection.
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