PRIMARY SPONTANEOUS PARTIAL PNEUMOTHORAX IN A PATIENT WITH COVID-19 PNEUMONIA. HAVE WE UNDERESTIMATED THIS COMPLICATION? A CASE REPORT

Sanamed Pub Date : 2022-06-02 DOI:10.5937/sanamed17-36543
R. Dmitrović, B. Lazovic, Isidora Simonovic, A. Esquinas, Mersudin Mulić
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Abstract

Introduction and case report: We described a case of primary spontaneous partial pneumothorax in a middle-aged man with COVID-19 pneumonia who presented with fever, loss of appetite, and malaise. Laboratory results revealed higher levels of inflammatory markers, as well as sterile urine and blood cultures. On admission, a chest X-ray revealed bilateral patchy consolidations in the lung parenchyma, as well as a left-sided partial pneumothorax. Throughout his hospitalization, the patient was closely examined by a thoracic surgeon, and a chest X-ray was taken on multiple occasions. There was spontaneous resorption of air from the pleural space. Conclusion: Pneumothorax is a rare but serious complication of the COVID-19 infection that has recently been documented in patients with no comorbidities, requiring various types of ventilatory support. The precise mechanism of primary spontaneous pneumothorax in COVID-19 infection is unknown, but it will undoubtedly pose a challenge to future researchers.
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1例COVID-19肺炎患者原发性自发性部分气胸。我们是否低估了这种复杂性?病例报告
简介和病例报告:我们描述了一例新冠肺炎肺炎中年男性原发性自发性部分性肺气肿,他表现为发烧、食欲不振和不适。实验室结果显示,炎症标志物水平较高,尿液和血液培养也呈无菌状态。入院时,胸部X光片显示双侧肺实质斑块状实变,以及左侧部分性肺气肿。在住院期间,患者接受了胸部外科医生的密切检查,并多次拍摄胸部X光片。胸膜间隙的空气被自发吸收。结论:胸腔积液是新冠肺炎感染的一种罕见但严重的并发症,最近在没有合并症的患者中记录了这种并发症,需要各种类型的通气支持。新冠肺炎感染原发性自发性肺气肿的确切机制尚不清楚,但这无疑将对未来的研究人员提出挑战。
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审稿时长
8 weeks
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