Neumomediastino espontáneo en pacientes con COVID-19: una serie de cuatro casos

Gorospe, Luis; Ayala-Carbonero, Ana María; Ureña-Vacas, Almudena; Fra-Fernández, Sara; Muñoz-Molina, Gemma María; Arrieta, Paola; Almonacid-Sánchez, Carlos; Ramos-Sánchez, Alejandro; Filigheddu, Eta; Pérez-Fernández, Manuel

doi:10.1016/j.arbres.2020.06.008

Cited by 18 publications

(8 citation statements)

References 13 publications

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“…None of the patients had a previous history of tobacco consumption or predisposing risk factors. One patient died after an infection of Pseudomonas aeruginosa (8). No statistical analysis of risk factors was performed for the study.…”

Section: Discussionmentioning

confidence: 99%

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Frequency and Risk Factors for Spontaneous Pneumomediastinum in COVID-19 Patients

et al. 2021

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Background: Spontaneous pneumomediastinum (SPM) is an uncommon condition in COVID-19 patients. No information about outcome or risk factors is available at the time. The aim of this research is to report on the frequency and risk factors of spontaneous pneumomediastinum in COVID-19 patients.Materials and Methods: An unmatched case-control study was carried out in a tertiary health-care facility for patients with COVID-19. Electronic files were reviewed to identify patients with confirmed COVID-19 infection by RT-PCR. Univariate analysis was used to describe demographic data. Mean differences were calculated using the Mann-Whitney test. Frequency and odds ratios were calculated by standard operations.Results: A total of 271 patients were included in the study. Nine patients showed spontaneous pneumomediastinum and four of them presented associated spontaneous pneumothorax. The most common risk factors associated with poor outcomes in COVID-19 patients were not considered as risk factors for spontaneous pneumomediastinum development.Conclusion: Spontaneous pneumomediastinum is an uncommon clinical feature in COVID-19 patients. More research is necessary to formulate statements regarding prevalence, risk factors, and outcome.

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Section: Discussionmentioning

confidence: 99%

“…Radiological features such as spontaneous pneumothorax have been described in 1% of COVID-19 patients (7,8). Spontaneous pneumomediastinum (SPM), unrelated to assisted ventilation, is another radiological feature reported in literature as a frequent complication and is related to a poor outcome (9).…”

Section: Introductionmentioning

confidence: 99%

Frequency and Risk Factors for Spontaneous Pneumomediastinum in COVID-19 Patients

et al. 2021

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“…So far, it has not been possible to discover any case in the literature that clarifies PM’s temporal and radiological evolution to pneumopericardium in HFNC treatment in COVID-19 pneumonia. Sporadic cases of spontaneous pneumothorax, PM and pneumopericardium are described in the literature to establish the unusual complication [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Evolution to Pneumopericardium in Patient with COVID-19 Pneumonia Treated with High Flow Nasal Cannula

et al. 2021

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Infection with severe acute respiratory syndrome coronavirus 2 causes coronavirus disease 2019 (COVID-19) which was revealed an official pandemic by the World Health Organization on 11 March 2020. The current pandemic, the third of this decade, is the worst in terms of suffering and deaths related. COVID-19 represents an unprecedented challenge for medical communities and patients around the world. High-resolution computed tomography of the chest (HRCT) is a fundamental tool in both management and diagnosis of the disease. Imaging plays an essential role in the diagnosis of all the manifestations of the disease and its complications and the correct use and interpretation of imaging tests are essential. Pneumomediastinum has been reported rarely in COVID-19 patients. We were one of the first groups to share our experiences in uncommon parenchymal complications of COVID-19 with spontaneous pneumothorax and pneumomediastinum, but also with new-onset bronchiectasis and cysts. A finding of pneumopericardium is also unusual. We hereby report a rare case of spontaneous pneumopericardium in a patient with COVID-19 pneumonia treated only with a high-flow nasal cannula (HFNC).

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“…Up to the date of submission of the present manuscript, a total of 41 cases of pneumomediastinum have been reported in patients suffering from COVID-19, 8,[11][12][13][14][15][16][17][18][19][20][21][22][23] whose characteristics are summarized in Table 1. Among these 41 patients, 18 (44%) had been previously treated with invasive mechanical ventilation and one with noninvasive ventilation (NIV), thus suggesting a possible iatrogenic nature of pneumomediastinum.…”

Section: Case Review Of the Literaturementioning

confidence: 99%

A case report of pneumomediastinum in a COVID‐19 patient treated with high‐flow nasal cannula and review of the literature: Is this a “spontaneous” complication?

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et al. 2021

Clinical Case Reports

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Neumomediastino espontáneo en pacientes con COVID-19: una serie de cuatro casos

Cited by 18 publications

References 13 publications

Frequency and Risk Factors for Spontaneous Pneumomediastinum in COVID-19 Patients

Frequency and Risk Factors for Spontaneous Pneumomediastinum in COVID-19 Patients

A Rare Evolution to Pneumopericardium in Patient with COVID-19 Pneumonia Treated with High Flow Nasal Cannula

A case report of pneumomediastinum in a COVID‐19 patient treated with high‐flow nasal cannula and review of the literature: Is this a “spontaneous” complication?

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