PRIMARY SPONTANEOUS PARTIAL PNEUMOTHORAX IN A PATIENT WITH COVID-19 PNEUMONIA. HAVE WE UNDERESTIMATED THIS COMPLICATION? A CASE REPORT

Radmila Dmitrovic, Biljana Lazovic, Isidora Simonovic, Antonio Esquinas, Mersudin Mulic

Abstract


Introduction and case report: We described a case of primary spontaneous partial pneumothorax in a middle-aged man with COVID-19 pneumonia who presented with fever, loss of appetite, and malaise. Laboratory results revealed higher levels of inflammatory markers, as well as sterile urine and blood cultures. On admission, a chest X-ray revealed bilateral patchy consolidations in the lung parenchyma, as well as a left-sided partial pneumothorax. Throughout his hospitalization, the patient was closely examined by a thoracic surgeon, and a chest X-ray was taken on multiple occasions. There was spontaneous resorption of air from the pleural space. Conclusion: Pneumothorax is a rare but serious complication of the COVID-19 infection that has recently been documented in patients with no comorbidities, requiring various types of ventilatory support. The precise mechanism of primary spontaneous pneumothorax in COVID-19 infection is unknown, but it will undoubtedly pose a challenge to future researchers.


Keywords


primary spontaneous pneumothorax, partial, COVID-19, treatment

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References


Milisavljevic S, Spasic M, Milosevic B. Pneumothorax- diagnosis and treatment. Sanamed. 2015;10(3): 221-8. doi:10.5937/sanamed503221M

Zantah M, Dominguez Castillo E, Townsend R, Dikengil F, Criner GJ. Pneumothorax in COVID-19 disease- incidence and clinical characteristics. Respir Res. 2020;21(1):236. doi: 10.1186/s12931-020-01504-y.

Chong WH, Saha BK, Hu K, Chopra A. The incidence, clinical characteristics, and outcomes of pneumothorax in hospitalized COVID19 patients: A systematic review. Hearth Lung. 2021;50(5):599-608.doi: 10.1016/j.hrtlng.2021.04.005

Giraldo Vallejo FA, Romero R, Mejia M, Quijano E. Primary spontaneous pneumothorax, a clinical challenge, Pneumothorax, Khalid Amer, Intech Open, doi: 10.5772/intechopen.83458. Available from: https://www.intechopen.com/chapters/65152

Marza AM, Petrica A, Buleu FN, Mederle A. Case report: Massive spontaneous pneumothorax – a rare form of presentation for severe COVID19 pneumonia. Medicine (Kaunas). 2021;57(2):82. doi: 10.3390/medicina57020082

Miro Ò, Alquézar-Arbé A, Llorens P, Martín- Sánchez JF, Jiménez D, Martín A, et al. Comparison of the demographic characteristics and comorbidities of patients with COVID-19 who died in Spanish hospitals based on whether they were or were not admitted to an intensive care unit. Med Intensiva. 2021;45(1):14-26. doi: 10.1016/j.medine.2020.09.004

Lazovic B, Dmitrovic R, Simonovic I. Letter to the editor: Cytokine release syndrome, a controversial and interesting, how far we have come? Adv Respir Med. 2021. Accepted, in press

Kaufman AE, Naidu S, Ramachandran S, Kaufman DS, Fayad ZA, Mani V. Review of radiographic findings in COVID-19. World J Radiol. 2020;12(8):142-55. doi: 10.4329/wjr.v12.i8.142

Chen L, Zhang Z. Bedside ultrasonography for the diagnosis of pneumothorax. Quant Imaging Med Surg. 2015;5(4):618-23. doi: 10.3978/j.issn.2223-4292.2015.05.04

Lazovic B, Dmitrovic R, Simonovic I, Esquinas AM. Lung ultrasound in Noninvasive ventilation. Implications regarding anesthesiology and perioperative. In: Esquinas AM. Noninvasive mechanical ventilation in Anesthesiology and perioperative medicine. New York: Nova Science Publisher; 2021. Accepted: in press




DOI: http://dx.doi.org/10.5937/sanamed17-36543

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