Pneumothorax and Pneumomediastinum Secondary to COVID-19 Disease Unrelated to Mechanical Ventilation

In the recent worldwide coronavirus 2019 pandemic, a notable rise in pneumomediastinum and pneumothorax complications has been witnessed in numerous mechanically ventilated patients infected with severe acute respiratory syndrome coronavirus 2. Most cases have reported these complications as barotra...

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Main Authors: Lara Tucker, Sachin Patel, Catherine Vatsis, Antonia Poma, Ali Ammar, Wael Nasser, Satyanarayana Mukkera, Mai Vo, Rumi Khan, Steve Carlan
Format: Article
Language:English
Published: Hindawi Limited 2020-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2020/6655428
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spelling doaj-e0093d97419344ecbb1c68e58a1ba2d42020-12-07T09:08:26ZengHindawi LimitedCase Reports in Critical Care2090-64202090-64392020-01-01202010.1155/2020/66554286655428Pneumothorax and Pneumomediastinum Secondary to COVID-19 Disease Unrelated to Mechanical VentilationLara Tucker0Sachin Patel1Catherine Vatsis2Antonia Poma3Ali Ammar4Wael Nasser5Satyanarayana Mukkera6Mai Vo7Rumi Khan8Steve Carlan9Department of Internal Medicine, Orlando Regional Healthcare, Orlando, FL, USADivision of Critical Care Medicine, Orlando Regional Healthcare, Orlando, FL, USADepartment of Internal Medicine, Orlando Regional Healthcare, Orlando, FL, USADepartment of Internal Medicine, Orlando Regional Healthcare, Orlando, FL, USADivision of Critical Care Medicine, Orlando Regional Healthcare, Orlando, FL, USADepartment of Faculty and Academic Affairs, University of Central Florida College of Medicine, Orlando, FL, USADivision of Critical Care Medicine, Orlando Regional Healthcare, Orlando, FL, USADivision of Critical Care Medicine, Orlando Regional Healthcare, Orlando, FL, USADivision of Critical Care Medicine, Orlando Regional Healthcare, Orlando, FL, USADivision of Academic Affairs and Research, Orlando Regional Healthcare, Orlando, FL, USAIn the recent worldwide coronavirus 2019 pandemic, a notable rise in pneumomediastinum and pneumothorax complications has been witnessed in numerous mechanically ventilated patients infected with severe acute respiratory syndrome coronavirus 2. Most cases have reported these complications as barotrauma from mechanical ventilation with COVID-19 disease. We aim to report three polymerase chain reaction-confirmed COVID-19 patients who developed pneumomediastinum and pneumothorax unrelated to mechanical ventilation. We originally analyzed 800 patients with COVID-19 disease at Orlando Regional Medical Center from March 1, 2020, to July 31, 2020, of which 12 patients developed pneumomediastinum and pneumothorax in their hospital course. Interestingly, three patients developed pneumomediastinum on chest imaging prior to intubation. We present these three patients, one female and two males, ages of 42, 64, and 65, respectively, who were diagnosed with COVID-19 disease through nasopharyngeal sampling tests with acute respiratory distress syndrome. Spontaneous pneumomediastinum and pneumothorax are potential complications of COVID-19 disease in the lungs unrelated to mechanical ventilation. This is similar to previous outbreaks of severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) diseases. Further investigation is needed to define the causality of pneumomediastinum in nonintubated COVID-19 patients to define the incidence of disease.http://dx.doi.org/10.1155/2020/6655428
collection DOAJ
language English
format Article
sources DOAJ
author Lara Tucker
Sachin Patel
Catherine Vatsis
Antonia Poma
Ali Ammar
Wael Nasser
Satyanarayana Mukkera
Mai Vo
Rumi Khan
Steve Carlan
spellingShingle Lara Tucker
Sachin Patel
Catherine Vatsis
Antonia Poma
Ali Ammar
Wael Nasser
Satyanarayana Mukkera
Mai Vo
Rumi Khan
Steve Carlan
Pneumothorax and Pneumomediastinum Secondary to COVID-19 Disease Unrelated to Mechanical Ventilation
Case Reports in Critical Care
author_facet Lara Tucker
Sachin Patel
Catherine Vatsis
Antonia Poma
Ali Ammar
Wael Nasser
Satyanarayana Mukkera
Mai Vo
Rumi Khan
Steve Carlan
author_sort Lara Tucker
title Pneumothorax and Pneumomediastinum Secondary to COVID-19 Disease Unrelated to Mechanical Ventilation
title_short Pneumothorax and Pneumomediastinum Secondary to COVID-19 Disease Unrelated to Mechanical Ventilation
title_full Pneumothorax and Pneumomediastinum Secondary to COVID-19 Disease Unrelated to Mechanical Ventilation
title_fullStr Pneumothorax and Pneumomediastinum Secondary to COVID-19 Disease Unrelated to Mechanical Ventilation
title_full_unstemmed Pneumothorax and Pneumomediastinum Secondary to COVID-19 Disease Unrelated to Mechanical Ventilation
title_sort pneumothorax and pneumomediastinum secondary to covid-19 disease unrelated to mechanical ventilation
publisher Hindawi Limited
series Case Reports in Critical Care
issn 2090-6420
2090-6439
publishDate 2020-01-01
description In the recent worldwide coronavirus 2019 pandemic, a notable rise in pneumomediastinum and pneumothorax complications has been witnessed in numerous mechanically ventilated patients infected with severe acute respiratory syndrome coronavirus 2. Most cases have reported these complications as barotrauma from mechanical ventilation with COVID-19 disease. We aim to report three polymerase chain reaction-confirmed COVID-19 patients who developed pneumomediastinum and pneumothorax unrelated to mechanical ventilation. We originally analyzed 800 patients with COVID-19 disease at Orlando Regional Medical Center from March 1, 2020, to July 31, 2020, of which 12 patients developed pneumomediastinum and pneumothorax in their hospital course. Interestingly, three patients developed pneumomediastinum on chest imaging prior to intubation. We present these three patients, one female and two males, ages of 42, 64, and 65, respectively, who were diagnosed with COVID-19 disease through nasopharyngeal sampling tests with acute respiratory distress syndrome. Spontaneous pneumomediastinum and pneumothorax are potential complications of COVID-19 disease in the lungs unrelated to mechanical ventilation. This is similar to previous outbreaks of severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) diseases. Further investigation is needed to define the causality of pneumomediastinum in nonintubated COVID-19 patients to define the incidence of disease.
url http://dx.doi.org/10.1155/2020/6655428
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