A case of secondary tension pneumothorax in COVID-19 pneumonia in a patient with no prior history of lung disease

Amoah, Kwesi; Gunasekaran, Kulothungan; Rahi, Mandeep Singh; Buscher, Michael

doi:10.1177/2050313x20967504

Cited by 6 publications

(5 citation statements)

References 16 publications

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“…Misdiagnosis can lead to protocol-based initiation of PPV and the outcome may be detrimental with underlying unrecognized pneumothoraces. [ 11 ] Cavitation, primary spontaneous tension pneumothorax complicated by hydropneumothorax in a post-COVID patient without any history of mechanical ventilation, and other conventional risk factors made this index case unique. Moreover, our patient was saved by prompt recognition of the condition by astute physical examination and immediate radiography and appropriate multidisciplinary management in time even in a resource-constrained setup.…”

Section: Discussionmentioning

confidence: 99%

“…[ 7 8 ] However, tension pneumothorax is an extremely rare but life-threatening complication of COVID-19 pneumonia and only a handful of cases have been reported to date. [ 9 10 11 12 13 14 ] Herein, we report a rare case of severe post-COVID-19 pulmonary cavitation and tension PSP which was further complicated by hydropneumothorax formation in a patient without any associated lung disease or prior exposure to PPV.…”

Section: Introductionmentioning

confidence: 99%

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Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient

Ojha¹,

Vardhan²,

Biswas³

et al. 2022

Journal of Family Medicine and Primary Care

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Cavitation and pneumothorax are independently associated with high morbidity and mortality in coronavirus disease-2019 (COVID-19). While spontaneous (non-traumatic) pneumothorax formation has commonly been observed among mechanically ventilated COVID-19 patients, there are few rare reports of COVID-19 associated pneumothorax without any history of barotrauma and other conventional risk factors. Here, we report a unique case of post-COVID-19 cavitation and tension pneumothorax which was further complicated by hydropneumothorax formation in a young patient who suffered severe COVID-19 pneumonia 4 weeks back. As the patient was devoid of any conventional risk factors, we believe that persistent inflammatory alveolar damage even after clinical recovery from COVID-19 played a key role in pulmonary cavitation followed by pneumothorax formation. With prompt clinical and radiological recognition of these fatal, yet treatable complications of COVID-19 pneumonia, the patient was saved and had an uneventful recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient

Ojha¹,

Vardhan²,

Biswas³

et al. 2022

Journal of Family Medicine and Primary Care

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“…1 ). Articles and case descriptions with as much information as possible were selected for analysis; therefore, not all case studies were selected [ [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] , [66] , [67] ...…”

Section: Methodsmentioning

confidence: 99%

Pneumothorax due to COVID-19: Analysis of case reports

Gaytán¹,

Andrade²,

Valenzo³

2021

Respiratory Medicine Case Reports

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Cases of pneumothorax/pneumomediastinum have been reported in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); however, the time to onset and hospital stay have rarely been studied. Coronavirus disease 2019 (COVID-19) patients with these complications are described to determine the time to onset, associated comorbidities, and location and duration of pneumothorax. A search in PubMed yielded simple frequencies and a bivariate analysis of deaths. There were 113 confirmed cases in 67 articles. The median time from the date of hospital admission to the presence of pneumothorax was 8 days. Right hemithorax was the most frequent form of pneumothorax. Almost half of the patients required intubation for invasive mechanical ventilation. Although the frequency of this phenomenon was not high among hospitalized patients with confirmed SARS-CoV-2, it was high among those who developed acute respiratory distress syndrome (ARDS). This study contributes to the literature because it presents a large number of patients who developed pneumothorax after admission, which was characterized by clinical deterioration (dyspnea, tachypnea, pleuritic chest pain, and subcutaneous emphysema) and low oxygen saturation levels. Pneumothorax/pneumomediastinum is recommended as a differential diagnosis, even without considering the presence of chronic pulmonary comorbidities or invasive mechanical ventilation.

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“…Cofactors linked by the COVID-19 virus to access host cells. In addition, the risk of a largevessel and cardiogenic cerebrovascular accident (CVA) has already been described in the literature, even without the classic factors for this in individuals with an infected respiratory tract (Amoah et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Endothelial dysfunction and thrombotic complications associated with SARS-CoV-2 in adults: a systematic review

Pamplona

Taveira

Mata

et al. 2023

RSD

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Introduction: During the pandemic, occurrences of thromboembolic complications and endothelial dysfunctions associated with COVID-19 were observed. Thus, the pathophysiology of the mechanisms of action are not fully elucidated. Methods: Aiming at a better understanding of the associated mechanisms of endothelial function due to COVID-19, a systematic review was developeded out using index databases and a selection process in which the inclusion criteria were articles that addressed the mechanism of thrombotic events by endothelium dysfunction and publications that associate COVID-19 with thrombotic complications in adults up to 59 years of age. Conclusion: SARS-CoV-2 is associated with altered endothelial function by endothelial mechanisms induced by direct viral infection and injury, leading to changes in the angiotensin II/AT1 axis and inflammatory response.

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A case of secondary tension pneumothorax in COVID-19 pneumonia in a patient with no prior history of lung disease

Cited by 6 publications

References 16 publications

Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient

Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient

Pneumothorax due to COVID-19: Analysis of case reports

Endothelial dysfunction and thrombotic complications associated with SARS-CoV-2 in adults: a systematic review

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