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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BMJ Publishing Group
2021
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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. |
format | Online Article Text |
id | pubmed-8048003 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
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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