Spontaneous pneumomediastinum in COVID-19 pneumonia: Two Cases and Review of the Literature

Authors : Hasan KARA, Aysegül BAYIR, Selim DEĞİRMENCİ, Hüseyin YILDIRAN, Ahmet AK

Pages : 34-36

Doi:10.33706/jemcr.1015741

View : 27 | Download : 8

Publication Date : 2022-03-08

Article Type : Other Papers

Abstract :Introduction: Spontaneous pneumomediastinum insert ignore into journalissuearticles values(PM); is a rare presentation associated with Coronavirus disease 2019 insert ignore into journalissuearticles values(COVID-19);. Here, we report two cases presented with spontaneous PM associated with COVID-19 pneumonia. Case Reports: Case 1: A 58-year-old female patient was admitted to the Emergency Department insert ignore into journalissuearticles values(ED); with dyspnea, hoarseness, myalgia, and cough. A chest CT scan revealed subcutaneous emphysema, diffuse PM, bilateral diffuse areas of ground-glass opacity, and consolidations. The patient was transferred to the critical care unit. In critical intensive care, the patient developed multi-organ failure and expired on the 10th day. Case 2: A 34-year-old male patient admitted to the ED with dyspnea and cough. A chest CT scan revealed diffuse PM, bilateral diffuse areas of ground-glass opacity, and consolidations. The patient was transferred to the critical care unit. His progress was uneventful and he was discharged after 12 days. Conclusion: Patients suspected of PM should be examined closely during the differential diagnosis of chest pain, dyspnea, subcutaneous emphysema, and various lung- and heart-induced states. Patients diagnosed with spontaneous PM should be hospitalized for observation because the condition can be associated with complications, including death.
Keywords : COVID 19, Dyspnea, Pneumomediastinum, Complication