Recurrent Pneumothorax and Pneumomediastinum as a Complication of COVID-19 in a Young Athlete

Q4 Medicine Iranian Journal of Blood and Cancer Pub Date : 2022-03-01 DOI:10.58209/ijbc.14.1.40

Soha Mohammadi Moghaddam, Sina Maghsoudlou, Hadi Choubdar, M. Mahdavi, Mojtaba Nikoogadam

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Abstract

A novel coronavirus, SARS-CoV-2 was identified as the cause of a cluster of pneumonia cases in Wuhan, China in December 2019. Coronavirus Disease 2019 (COVID-19) has rapidly spread worldwide. Numerous studies have shown diverse findings on chest CT scan of the patients with COVID-19. The established well-known features of COVID-19 on chest imaging include bilateral multilobar ground-glass opacification (GGO) predominantly with peripheral distribution, mainly in the lower lobes. Atypical presentation of consolidative opacities superimposed on GGO may be found in a smaller number of cases, mainly in the elderly populations. Pleural and pericardial effusion, lymphadenopathy, cavitation, halo sign on CT scan, and pneumothorax are uncommon but may be seen with disease progression. We report a case of severe COVID-19 in an athlete man with development of bilateral pneumothorax, pneumomediastinum and subcutaneous emphysema during progression of the disease. The only risk factor for severe COVID-19 in our patient was suggested to be chronic use of dexamethasone as anabolic steroids. Our patient also received three sessions of plasmapheresis. Unfortunately, the patient expired due to recurrence of bilateral pneumothorax and pneumomediastinum. © 2022, Iranian Pediatric Hematology and Oncology Society. All rights reserved.

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一名青年运动员新冠肺炎并发复发性胸腔和纵隔气肿

2019年12月，一种新型冠状病毒SARS-CoV-2被确定为中国武汉聚集性肺炎病例的病因。2019冠状病毒病(COVID-19)在全球迅速蔓延。大量研究显示，新冠肺炎患者的胸部CT扫描结果多种多样。COVID-19在胸部影像学上公认的特征包括双侧多叶磨玻璃混浊(GGO)，主要分布在周围，主要在下叶。在少数病例中，主要是在老年人中，可能会发现不典型的实变混浊叠加在GGO上。胸膜和心包积液、淋巴结病、空化、CT上的晕征和气胸不常见，但随着疾病的进展可能会出现。我们报告一例严重的COVID-19运动员男性，在疾病进展过程中出现双侧气胸、纵隔气肿和皮下肺气肿。我们的患者发生严重COVID-19的唯一危险因素是长期使用地塞米松作为合成代谢类固醇。我们的病人也接受了三次血浆置换。不幸的是，患者因双侧气胸和纵隔气复发而死亡。©2022，伊朗儿童血液学和肿瘤学会。版权所有。

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来源期刊

Iranian Journal of Blood and Cancer Medicine-Oncology

CiteScore

0.60

自引率

0.00%

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期刊介绍： IJBC tries to provide a new opportunity for advancing the field of Hematology and Oncology in Iran and make a bridge between Iranian researchers and fellow scientists globally. This journal is published in print and online and includes high quality manuscripts including basic and clinical investigations of blood disorders and malignant diseases namely: diagnosis, treatment, epidemiology, etiology, biology and molecular aspects as well as clinical genetics of these diseases, as they affect children, adolescents and adults. “IJBC” also includes the studies on transfusion medicine, hematopoietic stem cell transplantation, immunology, genetics and gene-therapy and accepts original papers, systematic reviews, case reports, brief reports and letters to the editor in all aspects of blood transfusion, blood donors recruitment, screening techniques, modern approaches to transfusion, whole blood and blood components applications.