A Current and Common Cause of Secondary Spontaneous Pneumothorax: Covid- 19 Pneumonia

Authors : Nurmuhammet TAŞ, Muhammet NALDAN, Fatih ÖNER, Hülya NALDAN, Yener AYDİN

Pages : 562-571

Doi:10.38001/ijlsb.1116153

View : 28 | Download : 16

Publication Date : 2022-12-15

Article Type : Research Paper

Abstract :This study evaluated cases of spontaneous pneumothorax developing secondary to SARS-CoV-2 pneumonia. Sixteen cases presenting to our hospital due to spontaneous pneumothorax developing secondary to SARS-CoV-2 pneumonia between March 2020 and February 2020 were evaluated retrospectively. Ten patients insert ignore into journalissuearticles values(62.5%); were men, and six insert ignore into journalissuearticles values(37.5%); were women, with a mean age of 68 ± 20.3 years insert ignore into journalissuearticles values(range 18 - 90 years);. Pneumothorax was in the right hemithorax in 11 cases insert ignore into journalissuearticles values(68.75%);, in the left hemithorax in two insert ignore into journalissuearticles values(12.5%);, and bilateral in three insert ignore into journalissuearticles values(17.75%);. Pneumothorax developed during active SARS-CoV-2 pneumonia in all 16 cases insert ignore into journalissuearticles values(100%);. No pneumothorax was detected following the healing of SARS-CoV-2 infection. Pneumothorax was observed while patients were not intubated in 15 cases insert ignore into journalissuearticles values(93.75%);, but pneumothorax developed during mechanical ventilation in one case insert ignore into journalissuearticles values(6.25%);. Tube thoracostomy was performed on all patients in treatment. Air leakage from the tube was observed in 14 cases insert ignore into journalissuearticles values(87.5%);. The mean duration of tube thoracostomy was 18.3 ± 20.1 days insert ignore into journalissuearticles values(range 1 - 81 days);. Pneumothorax resolved after treatment in seven cases insert ignore into journalissuearticles values(43.75%);, while mortality occurred in nine insert ignore into journalissuearticles values(56.25%);. Pneumothorax recurred after treatment in one case insert ignore into journalissuearticles values(6.25%);. Pneumothorax is widely seen in the active period or after healing in cases infected with COVID-19. Aggressive treatment is generally required for this clinical manifestation with high mortality.
Keywords : SARS CoV 2, Pneumonia, Pneumothorax, Management