PNEUMOTHORAX AND PNEUMOMEDIASTINUM UNUSUAL COMPLICATIONS IN PATIENTS WITH COVID-19 PNEUMONIA - REPORT OF THREE CASES AND LITERATURE REVIEW

Authors

  • Gordana Kamcheva Mihailova Faculty of medical sciences, UGD Shtip
  • Stojka Dokuzova "Clinical Hospital" Shtip

Keywords:

pneumothorax, pneumomediastinum, COVID-19 pneumonia

Abstract

Coronavirus 2019 (COVID-19) has rapidly spread worldwide. Numerous studies have shown typical and atypical CT findings of complications with COVID-19 pneumonia. As the pandemic progresses, the number of unusual presentation of the disease, such as pneumothorax and pneumomediastinum increases. Recent evidence suggests that these findings may occur in the context of COVID-19 pneumonia, even in the absence of mechanical ventilation – related barotrauma. We present three patients with COVID-19 pneumonia complicated by pneumothorax or pneumomediastinum. The first patient was a 62-year-old man who developed COVID-19 pneumonia. His clinical course was complicated by a small pneumomediastinum that was treated conservatively. He had spontaneous resolution of the pneumomediastinum. The second patient is a 46-year-old man diagnosed with COVID-19 pneumonia who developed spontaneous massive pneumothorax, which was treated surgically with a thoracic drain. The third patient is a 77-year-old man with pneumonia and massive pneumothorax and surgically treated with a thoracic drain. None of our patients used invasive or non-invasive positive pressure ventilation or previously diagnosed respiratory disease. We performed literature review of cases of COVID-19 pneumonia that developed pneumothorax, pneumomediastinum or both complications together. The probable cause of these events is severe alveolar damage. Thus, it is necessary to pay attention to these complications as early identification and management can reduce the associated morbidity and mortality

Author Biography

Gordana Kamcheva Mihailova, Faculty of medical sciences, UGD Shtip

"Clinical Hospital" Shtip

Downloads

Published

2021-02-15

How to Cite

Kamcheva Mihailova, G., & Dokuzova, S. (2021). PNEUMOTHORAX AND PNEUMOMEDIASTINUM UNUSUAL COMPLICATIONS IN PATIENTS WITH COVID-19 PNEUMONIA - REPORT OF THREE CASES AND LITERATURE REVIEW. KNOWLEDGE - International Journal, 44(2), 123–129. Retrieved from https://ikm.mk/ojs/index.php/kij/article/view/321