Favourable outcome after a delayed complication secondary to COVID-19

A 41-year-old man was admitted to hospital with 7-day history of fever, cough and having had a positive SARS-CoV-2 PCR test. The chest radiograph (CXR) showed bilateral peripheral parenchymal infiltrates. He required 4 L/min oxygen via nasal cannula for 72 hours and was discharged after 7 days with...

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Autores principales: Bosher, Olivia, Syed, Muneer Ahmed, Bikmalla, Shiva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8048003/
https://www.ncbi.nlm.nih.gov/pubmed/33846187
http://dx.doi.org/10.1136/bcr-2020-241049
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author Bosher, Olivia
Syed, Muneer Ahmed
Bikmalla, Shiva
author_facet Bosher, Olivia
Syed, Muneer Ahmed
Bikmalla, Shiva
author_sort Bosher, Olivia
collection PubMed
description A 41-year-old man was admitted to hospital with 7-day history of fever, cough and having had a positive SARS-CoV-2 PCR test. The chest radiograph (CXR) showed bilateral peripheral parenchymal infiltrates. He required 4 L/min oxygen via nasal cannula for 72 hours and was discharged after 7 days with appropriate advice. Four weeks from initial hospital admission, he presented with worsening cough, left chest pain and breathlessness. CXR showed left pneumothorax, and CT pulmonary angiogram (CTPA) scan confirmed left pneumothorax with mediastinal shift and a subpleural bulla. Intercostal chest drain was inserted with good resolution of symptoms and lung re-expansion. Follow-up CT scan 2 months later showed complete resolution of the parenchymal abnormalities. Our case demonstrates the development of pneumothorax as a delayed complication in a patient with COVID-19 who did not require ventilatory support. The case also illustrates a favourable outcome, that is, complete resolution of parenchymal destruction due to COVID-19.
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spelling pubmed-80480032021-04-28 Favourable outcome after a delayed complication secondary to COVID-19 Bosher, Olivia Syed, Muneer Ahmed Bikmalla, Shiva BMJ Case Rep Case Report A 41-year-old man was admitted to hospital with 7-day history of fever, cough and having had a positive SARS-CoV-2 PCR test. The chest radiograph (CXR) showed bilateral peripheral parenchymal infiltrates. He required 4 L/min oxygen via nasal cannula for 72 hours and was discharged after 7 days with appropriate advice. Four weeks from initial hospital admission, he presented with worsening cough, left chest pain and breathlessness. CXR showed left pneumothorax, and CT pulmonary angiogram (CTPA) scan confirmed left pneumothorax with mediastinal shift and a subpleural bulla. Intercostal chest drain was inserted with good resolution of symptoms and lung re-expansion. Follow-up CT scan 2 months later showed complete resolution of the parenchymal abnormalities. Our case demonstrates the development of pneumothorax as a delayed complication in a patient with COVID-19 who did not require ventilatory support. The case also illustrates a favourable outcome, that is, complete resolution of parenchymal destruction due to COVID-19. BMJ Publishing Group 2021-04-12 /pmc/articles/PMC8048003/ /pubmed/33846187 http://dx.doi.org/10.1136/bcr-2020-241049 Text en © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. https://bmj.com/coronavirus/usageThis article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.
spellingShingle Case Report
Bosher, Olivia
Syed, Muneer Ahmed
Bikmalla, Shiva
Favourable outcome after a delayed complication secondary to COVID-19
title Favourable outcome after a delayed complication secondary to COVID-19
title_full Favourable outcome after a delayed complication secondary to COVID-19
title_fullStr Favourable outcome after a delayed complication secondary to COVID-19
title_full_unstemmed Favourable outcome after a delayed complication secondary to COVID-19
title_short Favourable outcome after a delayed complication secondary to COVID-19
title_sort favourable outcome after a delayed complication secondary to covid-19
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8048003/
https://www.ncbi.nlm.nih.gov/pubmed/33846187
http://dx.doi.org/10.1136/bcr-2020-241049
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