The scientific literature has recently warned against recording this complication in a patient infected with the virus.
Pulmonary angiography report published in the study.
Tension pneumothorax is the accumulation of air in the pleural space under pressure, with compression of the lungs and reduced venous return to the heart muscle.
Likewise, it appears as a rare presentation in SARS-CoV-2 patients. However, the scientific literature has recently warned against recording this complication in a patient infected with the virus as well as myocarditis.
A 62-year-old man arrived with a dry cough, fever, shortness of breath, the sound of pleurisy in the chest area, and pain different from what he had experienced ten months earlier when he faced a pulmonary embolism.
The patient’s clinical history included a former smoker, type 2 diabetes, peripheral vascular disease, and malignancies treated on the basis of diverticular disease, among others. During the physical examination, she revealed a lung crackle at chest auscultation.
“Although our patient did not have a confirmed diagnosis of COPD prior to admission, a review of the CTPA (pulmonary angiography) images revealed emphysema changes. minimally in the right lung Which could have been broken by the additional damage of COVID-19 pneumonia. This may have caused an air leak in the thoracic half, resulting in spontaneous tension pneumothorax,” the authors detail.
Chest X-ray upon entry showing correct alignment of the central region.
This clinical case aims to highlight the importance of urgent chest radiography and timely clinical examination of COVID-19 patients who present with a sudden increase in oxygen needs and develop acute tachycardia to exclude the possibility of pneumothorax. Due to No formal diagnosis In the case of previous lung disease, this situation may be misinterpreted as the development of acute respiratory distress syndrome (acute respiratory distress syndrome)”, describes the situation.
Chest radiograph revealed a large volume Right pneumothorax causing displacement of the mediastinum, they added.
“Two recent case reports have been published on the link between COVID-19 and spontaneous pneumothorax. At Severe deterioration in patients With SARS-CoV-2, it is always important to consider alternative diagnoses and repeat imaging. In short, it illustrates our case tension all by herself Pneumothorax as a rare complication But it is dangerous COVID-19,” they concluded.
access to the case here.