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Spontaneous pneumomediastinum in COVID-19 pneumonia: Two Cases and Review of the Literature

Yıl 2022, Cilt: 13 Sayı: 1, 34 - 36, 08.03.2022
https://doi.org/10.33706/jemcr.1015741

Öz

Introduction: Spontaneous pneumomediastinum (PM) is a rare presentation associated with Coronavirus disease 2019 (COVID-19). Here, we report two cases presented with spontaneous PM associated with COVID-19 pneumonia.
Case Reports:
Case 1: A 58-year-old female patient was admitted to the Emergency Department (ED) with dyspnea, hoarseness, myalgia, and cough. A chest CT scan revealed subcutaneous emphysema, diffuse PM, bilateral diffuse areas of ground-glass opacity, and consolidations. The patient was transferred to the critical care unit. In critical intensive care, the patient developed multi-organ failure and expired on the 10th day.
Case 2: A 34-year-old male patient admitted to the ED with dyspnea and cough. A chest CT scan revealed diffuse PM, bilateral diffuse areas of ground-glass opacity, and consolidations. The patient was transferred to the critical care unit. His progress was uneventful and he was discharged after 12 days.
Conclusion: Patients suspected of PM should be examined closely during the differential diagnosis of chest pain, dyspnea, subcutaneous emphysema, and various lung- and heart-induced states. Patients diagnosed with spontaneous PM should be hospitalized for observation because the condition can be associated with complications, including death.

Kaynakça

  • 1. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395(10223): 497-506.
  • 2. Shan S, Guangming L, Wei L, Xuedong Y. Spontaneous pneumomediastinum, pneumothorax and subcutaneous emphysema in COVID-19: case report and literature review. Rev Inst Med Trop São Paulo 2020; 62: e76.
  • 3. Janssen J, Kamps MJA, Joosten TMB, Barten DG. Spontaneous pneumomediastinum in a male adult with COVID-19 pneumonia. Am J Emerg Med 2020; 30: S0735-6757(20)30661-6.
  • 4. Nieves-Ortiz AA, Fonseca-Ferrer V, Hernández-Moya K, Ramirez KM, Ayala-Rivera J, Delgado M. Spontaneous pneumomediastinum associated with COVID-19:Rare complication of 2020 pandemic. J Pulmonol Respir Res 2020; 4: 018-020.
  • 5. Pal M, Berhanu G, Desalegn C, Kandi V. Severe Acute Respiratory Syndrome Coronavirus2 (SARS-CoV-2): An Update. Cureus 2020; 12(3): e7423.
  • 6. Zhou C, Gao C, Xie Y, Xu M. COVID-19 with spontaneous pneumomediastinum. Lancet Infect Dis 2020; 20(4): 510.
  • 7. Mohan V, Tauseen RA. Spontaneous pneumomediastinum in COVID-19. BMJ Case Rep 2020; 13: e236519.
  • 8. Ucpinar BA, Sahin C, Yanc U. Spontaneous pneumothorax and subcutaneous emphysema in COVID-19 patient: case report. J Infect Public Health 2020; 13: 887-9.
  • 9. Mansella G, Bingisser R, Nickel CH. Pneumomediastinum in blunt chest trauma: a case report and review of the literature. Case Rep Emerg Med 2014; 2014: 685381.
  • 10. Brogna B, Bignardi E, Salvatore P, Alberigo M, Brogna C, Megliola A. Unusual presentations of COVID-19 pneumonia on CT scans with spontaneous pneumomediastinum and loculated pneumothorax: A report of two cases and a review of the literature. Heart Lung 2020; 49(6): 864-8.
Yıl 2022, Cilt: 13 Sayı: 1, 34 - 36, 08.03.2022
https://doi.org/10.33706/jemcr.1015741

Öz

Kaynakça

  • 1. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395(10223): 497-506.
  • 2. Shan S, Guangming L, Wei L, Xuedong Y. Spontaneous pneumomediastinum, pneumothorax and subcutaneous emphysema in COVID-19: case report and literature review. Rev Inst Med Trop São Paulo 2020; 62: e76.
  • 3. Janssen J, Kamps MJA, Joosten TMB, Barten DG. Spontaneous pneumomediastinum in a male adult with COVID-19 pneumonia. Am J Emerg Med 2020; 30: S0735-6757(20)30661-6.
  • 4. Nieves-Ortiz AA, Fonseca-Ferrer V, Hernández-Moya K, Ramirez KM, Ayala-Rivera J, Delgado M. Spontaneous pneumomediastinum associated with COVID-19:Rare complication of 2020 pandemic. J Pulmonol Respir Res 2020; 4: 018-020.
  • 5. Pal M, Berhanu G, Desalegn C, Kandi V. Severe Acute Respiratory Syndrome Coronavirus2 (SARS-CoV-2): An Update. Cureus 2020; 12(3): e7423.
  • 6. Zhou C, Gao C, Xie Y, Xu M. COVID-19 with spontaneous pneumomediastinum. Lancet Infect Dis 2020; 20(4): 510.
  • 7. Mohan V, Tauseen RA. Spontaneous pneumomediastinum in COVID-19. BMJ Case Rep 2020; 13: e236519.
  • 8. Ucpinar BA, Sahin C, Yanc U. Spontaneous pneumothorax and subcutaneous emphysema in COVID-19 patient: case report. J Infect Public Health 2020; 13: 887-9.
  • 9. Mansella G, Bingisser R, Nickel CH. Pneumomediastinum in blunt chest trauma: a case report and review of the literature. Case Rep Emerg Med 2014; 2014: 685381.
  • 10. Brogna B, Bignardi E, Salvatore P, Alberigo M, Brogna C, Megliola A. Unusual presentations of COVID-19 pneumonia on CT scans with spontaneous pneumomediastinum and loculated pneumothorax: A report of two cases and a review of the literature. Heart Lung 2020; 49(6): 864-8.
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Case Report
Yazarlar

Hasan Kara 0000-0002-3839-7651

Aysegül Bayır 0000-0002-5680-031X

Selim Değirmenci 0000-0002-2402-2912

Hüseyin Yıldıran 0000-0003-0126-2531

Ahmet Ak 0000-0002-9617-8772

Erken Görünüm Tarihi 7 Mart 2022
Yayımlanma Tarihi 8 Mart 2022
Gönderilme Tarihi 28 Ekim 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 13 Sayı: 1

Kaynak Göster

APA Kara, H., Bayır, A., Değirmenci, S., Yıldıran, H., vd. (2022). Spontaneous pneumomediastinum in COVID-19 pneumonia: Two Cases and Review of the Literature. Journal of Emergency Medicine Case Reports, 13(1), 34-36. https://doi.org/10.33706/jemcr.1015741
AMA Kara H, Bayır A, Değirmenci S, Yıldıran H, Ak A. Spontaneous pneumomediastinum in COVID-19 pneumonia: Two Cases and Review of the Literature. Journal of Emergency Medicine Case Reports. Mart 2022;13(1):34-36. doi:10.33706/jemcr.1015741
Chicago Kara, Hasan, Aysegül Bayır, Selim Değirmenci, Hüseyin Yıldıran, ve Ahmet Ak. “Spontaneous Pneumomediastinum in COVID-19 Pneumonia: Two Cases and Review of the Literature”. Journal of Emergency Medicine Case Reports 13, sy. 1 (Mart 2022): 34-36. https://doi.org/10.33706/jemcr.1015741.
EndNote Kara H, Bayır A, Değirmenci S, Yıldıran H, Ak A (01 Mart 2022) Spontaneous pneumomediastinum in COVID-19 pneumonia: Two Cases and Review of the Literature. Journal of Emergency Medicine Case Reports 13 1 34–36.
IEEE H. Kara, A. Bayır, S. Değirmenci, H. Yıldıran, ve A. Ak, “Spontaneous pneumomediastinum in COVID-19 pneumonia: Two Cases and Review of the Literature”, Journal of Emergency Medicine Case Reports, c. 13, sy. 1, ss. 34–36, 2022, doi: 10.33706/jemcr.1015741.
ISNAD Kara, Hasan vd. “Spontaneous Pneumomediastinum in COVID-19 Pneumonia: Two Cases and Review of the Literature”. Journal of Emergency Medicine Case Reports 13/1 (Mart 2022), 34-36. https://doi.org/10.33706/jemcr.1015741.
JAMA Kara H, Bayır A, Değirmenci S, Yıldıran H, Ak A. Spontaneous pneumomediastinum in COVID-19 pneumonia: Two Cases and Review of the Literature. Journal of Emergency Medicine Case Reports. 2022;13:34–36.
MLA Kara, Hasan vd. “Spontaneous Pneumomediastinum in COVID-19 Pneumonia: Two Cases and Review of the Literature”. Journal of Emergency Medicine Case Reports, c. 13, sy. 1, 2022, ss. 34-36, doi:10.33706/jemcr.1015741.
Vancouver Kara H, Bayır A, Değirmenci S, Yıldıran H, Ak A. Spontaneous pneumomediastinum in COVID-19 pneumonia: Two Cases and Review of the Literature. Journal of Emergency Medicine Case Reports. 2022;13(1):34-6.