tetano
Editor, Senior Moderator
SAGE Open Med Case Rep
. 2021 Apr 21;9:2050313X211010021.
doi: 10.1177/2050313X211010021. eCollection 2021.
A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature
Duong T Hua[SUP] 1 [/SUP], Farah Shah[SUP] 1 [/SUP], Cherlyn Perez-Corral[SUP] 1 [/SUP]
Affiliations
Abstract
Spontaneous pneumomediastinum is defined as having an etiology that is not related to surgery, trauma, or mechanical ventilation. Precipitating causes of spontaneous pneumomediastinum include coughing, exercise, vomiting, infection, underlying lung diseases such as asthma, and illicit drugs. Symptoms include chest pain, shortness of breath, and dysphagia. A 54-year-old man presented with 2 weeks of shortness of breath, cough, and fever. He was admitted for severe SARS-CoV-2 pneumonia and acute hypoxic respiratory failure requiring non-rebreather mask. Chest imaging on admission showed bilateral peripheral consolidations and pneumomediastinum with subcutaneous emphysema. No precipitating event was identified. He did not require initiation of positive pressure ventilation throughout his admission. On hospital day 7, chest imaging showed resolution of pneumomediastinum and subcutaneous emphysema, and he was successfully discharged on oxygen therapy. Spontaneous pneumomediastinum is a rare complication of severe acute respiratory syndrome coronavirus 2 infection. Spontaneous pneumomediastinum is typically benign and self-limiting, requiring only supportive treatment.
Keywords: COVID-19; severe acute respiratory syndrome coronavirus 2; spontaneous pneumomediastinum.
. 2021 Apr 21;9:2050313X211010021.
doi: 10.1177/2050313X211010021. eCollection 2021.
A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature
Duong T Hua[SUP] 1 [/SUP], Farah Shah[SUP] 1 [/SUP], Cherlyn Perez-Corral[SUP] 1 [/SUP]
Affiliations
- PMID: 33959284
- PMCID: PMC8064657
- DOI: 10.1177/2050313X211010021
Abstract
Spontaneous pneumomediastinum is defined as having an etiology that is not related to surgery, trauma, or mechanical ventilation. Precipitating causes of spontaneous pneumomediastinum include coughing, exercise, vomiting, infection, underlying lung diseases such as asthma, and illicit drugs. Symptoms include chest pain, shortness of breath, and dysphagia. A 54-year-old man presented with 2 weeks of shortness of breath, cough, and fever. He was admitted for severe SARS-CoV-2 pneumonia and acute hypoxic respiratory failure requiring non-rebreather mask. Chest imaging on admission showed bilateral peripheral consolidations and pneumomediastinum with subcutaneous emphysema. No precipitating event was identified. He did not require initiation of positive pressure ventilation throughout his admission. On hospital day 7, chest imaging showed resolution of pneumomediastinum and subcutaneous emphysema, and he was successfully discharged on oxygen therapy. Spontaneous pneumomediastinum is a rare complication of severe acute respiratory syndrome coronavirus 2 infection. Spontaneous pneumomediastinum is typically benign and self-limiting, requiring only supportive treatment.
Keywords: COVID-19; severe acute respiratory syndrome coronavirus 2; spontaneous pneumomediastinum.