Pneumothorax and spontaneous pneumomediastino associated with necrotizing pneumonia in COVID-19 infection. Case report

Authors

  • Adriana Elizabeth Estrella Lima Médica General. Instituto Oncológico Nacional Dr. Juan Tanca Marengo. SOLCA-Matriz Guayaquil. Departamento de Cuidados Paliativos. Guayaquil-Guayas-Ecuador. https://orcid.org/0000-0001-6111-2653
  • Alvaro Israel Maita Zambrano Médico. Instituto Ecuatoriano de Seguridad Social. Hospital Manuel Ygnacio Monteros. Departamento de Medicina Interna. Loja-Loja-Ecuador. https://orcid.org/0000-0003-2620-4127
  • Augusto Yamil Prado Falconí Doctor en Medicina y Cirugía. Especialista en Cirugía General. Instituto Ecuatoriano de Seguridad Social. Hospital Manuel Ygnacio Monteros. Departamento de Cirugía General. Loja-Loja-Ecuador

DOI:

https://doi.org/10.18537/RFCM.40.02.06

Keywords:

pneumothorax, COVID-19, respiratory insufficiency, mediastinal emphysema

Abstract

Introduction: In patients with COVID-19 acute respiratory failure is frequent; however, there are complications with a high risk of short -term mortality such as pneumothorax and spontaneous pneumomediastino that require a rapid and timely approach.

Clinical case: It is a case of a 70 -year -old male patient with seven -day respiratory symptoms, which progresses severe respiratory distress; with a diagnosis of viral pneumonia by SARS-CoV-2. During the hospitalization, the patient also presents hemoptysis, intense cough and chest pain, in images spontaneous and pneumomediastinum right is reported plus subcutaneous emphysema. After discarding pulmonary thromboembolia, thoracostomy is performed, it is complicated with generalized infection and the patient dies.

Conclusion: Pneumomediastino and pneumothorax associated with subcutaneous emphysema and necrotizing pneumonia are infrequent complications of SARS-Cov2 pneumonia associated with poor prognosis.

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Published

2022-08-09

Issue

Vol. 40 No. 2 (2022): Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca

Section

Clinical Case

License

Copyright (c) 2022 Adriana Elizabeth Estrella Lima, Alvaro Israel Maita Zambrano , Augusto Yamil Prado Falconí

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