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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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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