Spontaneous Pneumomediastinum in Patients With Sars-Cov-2 Virus (Covid-19)

Ghani, M Javid; Rodriguez-Ortiz, Yariana; Ahmad, Darakhshan; Pham, Judy; Tamsukhin, Phanthira; Mir, Parvez

doi:10.1016/j.chest.2020.08.1121

Cited by 3 publications

(4 citation statements)

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“…In addition, spontaneous pneumothorax is unusual, but it is more frequent in the Covid population and can be associated with worse outcomes. [7,8] We noticed that 5% of our Covid-19 admitted patients developed a pneumothorax and/or a pneumomediastinum, and 4.1% were treated with mechanical ventilation, whether invasive or non-invasive. This is compatible with other studies where one published series indicate that 3% of patients hospitalized with pneumonia had similar events in comparison to 6% of 202 mechanically ventilated patients in another paper.…”

Section: Discussionmentioning

confidence: 95%

Covid-19 pneumonia: Timing of pneumomediastinum and pneumothorax in 11 patients

Turk

Mitri

Jarrah

et al. 2021

DCC

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Purpose: As the pandemic continues, many complications, previously recognized as rare, are now being reported as more than frequent complications of Covid-19 pneumonia. Of those, pneumomediastinum and pneumothorax are gaining attention. Their mechanism of occurrence/trigger is not fully understood, but the timing at which they occur is unclear.Methods: This is a case series of 11 Covid-19 patients with pneumomediastinum; retrospectively, we shed light on some of the patients’ characteristics, the role of mechanical ventilation, and the timing of pneumomediastinum after initiation of mechanical ventilation.Results: We found that despite following the lung-protective strategy and despite keeping a plateau pressure at an acceptable range, most of our patients had an acute event around the same timing of mechanical ventilation.Conclusions: The similar timing raises questions about other risk factors that remain unknown. Timing and steroids can contribute to the higher incidence of these complications.

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Section: Discussionmentioning

confidence: 95%

Covid-19 pneumonia: Timing of pneumomediastinum and pneumothorax in 11 patients

Turk

Mitri

Jarrah

et al. 2021

DCC

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“…Further, a chest CT scan can describe the mediastinal involvement in COVID-19 manifestation [4], [5]. Pneumomediastinum is an uncommon manifestation of COVID-19 that can be diagnosed from the chest CT Scan [2], [6]. In the SARS-COV-1 pandemic in 2002, a retrospective study revealed that there were 13 from 123 cases of COVID-19 infections diagnosed with pneumomediastinum.…”

Section: Covid-19mentioning

confidence: 99%

“…Then, it spreads all over the countries until it reaches 143,445,675 cases per April 22, 2020, with a mortality rate was 3,051,736 cases [1]. The symptoms were varied from mild disease, including fever, cough, anosmia, ageusia, rhinorrhea, and nasal obstruction until breathing failure [2]. The progression of disease was affected by the immunological state of the patient, comorbid, and the laboratory results [3].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Pneumomediastinum in COVID-19 Unrelated to Mechanical Ventilation: A Case Report

Soeroso

Soliha²,

Ghanie³

et al. 2022

Open Access Maced J Med Sci

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Background: Pneumo-mediastinum is a rare disease associated with barotrauma and uncommonly occurs in viral pneumonia. Although the underlying mechanism of the incidence of pneumo-mediastinum in COVID-19 patients is not fully understood, barotrauma is the most probable cause. Case Report: We reported a case of a 27-years-old woman with the chief complaint was shortness of breath and diagnosed with COVID19 based on RT-PCR examination. On the sixth day after being admitted to the hospital, suddenly, the intensity of dyspnea was increased with the decrease of oxygen saturation. CT of the chest confirmed pneumomediastinum and pneumonia COVID -19. There was no improvement of symptoms after oxygen and steroid administration. Emergency thoracotomy was not performed yet, and the patient has died. Conclusions: Although pneumomediastinum is benign disease and self-limited disease, the presents of pneumomediastinum may relate to worse outcomes in COVID19 infections.

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“…Pneumomediastinum is defined as the presence of free air in the mediastinum with an incidence of 1 in every 25000 cases in ages between 5 and 34 years, predominantly in males. 1 Many parenchymal and extra-parenchymal abnormalities the most frequent and early manifestation is parenchymal ground glass opacities. 2 The occurrence of spontaneous pneumomediastinum is an uncommon presentation and spontaneous pneumopericardium with surgical emphysema is even rarer.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Occurrence of Pneumomediastinum, Pneumopericardium and Surgical Emphysema in a Patient of COVID-19: A Case Report

Kumar

2021

JoARM

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As we enter the third year of the COVID pandemic, the SARS-CoV-2 virus keeps on surprising clinicians globally with atypical manifestations. Spontaneous pneumomediastinum is the accumulation of free air within the mediastinum without any preceding trauma or invasive procedure. Pneumomediastinum has been recently reported in the literature, often with associated mortality and morbidity in COVID-19 patients exposed to positive pressure ventilation due to barotrauma. We report the case of a 47-year-old man admitted for management of infection by the SARS-CoV-2. After one week of in-patient treatment, the patient still had worsening dyspnea. Repeat chest X-ray revealed surgical emphysema in neck and NCCT chest revealed pneumomediastinum and pneumopericardium. The spontaneous pneumomediastinum and pneumopericardium with surgical emphysema resorbed over 22 days with a favourable clinical outcome without any invasive intervention. Patient was discharged subsequently with vitals maintaining on room air. A keen clinical observation and timely imaging study can help in detecting these complications early and direct the management accordingly.

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Spontaneous Pneumomediastinum in Patients With Sars-Cov-2 Virus (Covid-19)

Cited by 3 publications

References 0 publications

Covid-19 pneumonia: Timing of pneumomediastinum and pneumothorax in 11 patients

Covid-19 pneumonia: Timing of pneumomediastinum and pneumothorax in 11 patients

Spontaneous Pneumomediastinum in COVID-19 Unrelated to Mechanical Ventilation: A Case Report

Simultaneous Occurrence of Pneumomediastinum, Pneumopericardium and Surgical Emphysema in a Patient of COVID-19: A Case Report

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