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A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature

Spontaneous pneumomediastinum is defined as having an etiology that is not related to surgery, trauma, or mechanical ventilation. Precipitating causes of spontaneous pneumomediastinum include coughing, exercise, vomiting, infection, underlying lung diseases such as asthma, and illicit drugs. Symptom...

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Autores principales: Hua, Duong T, Shah, Farah, Perez-Corral, Cherlyn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8064657/
https://www.ncbi.nlm.nih.gov/pubmed/33959284
http://dx.doi.org/10.1177/2050313X211010021
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author Hua, Duong T
Shah, Farah
Perez-Corral, Cherlyn
author_facet Hua, Duong T
Shah, Farah
Perez-Corral, Cherlyn
author_sort Hua, Duong T
collection PubMed
description Spontaneous pneumomediastinum is defined as having an etiology that is not related to surgery, trauma, or mechanical ventilation. Precipitating causes of spontaneous pneumomediastinum include coughing, exercise, vomiting, infection, underlying lung diseases such as asthma, and illicit drugs. Symptoms include chest pain, shortness of breath, and dysphagia. A 54-year-old man presented with 2 weeks of shortness of breath, cough, and fever. He was admitted for severe SARS-CoV-2 pneumonia and acute hypoxic respiratory failure requiring non-rebreather mask. Chest imaging on admission showed bilateral peripheral consolidations and pneumomediastinum with subcutaneous emphysema. No precipitating event was identified. He did not require initiation of positive pressure ventilation throughout his admission. On hospital day 7, chest imaging showed resolution of pneumomediastinum and subcutaneous emphysema, and he was successfully discharged on oxygen therapy. Spontaneous pneumomediastinum is a rare complication of severe acute respiratory syndrome coronavirus 2 infection. Spontaneous pneumomediastinum is typically benign and self-limiting, requiring only supportive treatment.
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spelling pubmed-80646572021-05-05 A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature Hua, Duong T Shah, Farah Perez-Corral, Cherlyn SAGE Open Med Case Rep Case Report Spontaneous pneumomediastinum is defined as having an etiology that is not related to surgery, trauma, or mechanical ventilation. Precipitating causes of spontaneous pneumomediastinum include coughing, exercise, vomiting, infection, underlying lung diseases such as asthma, and illicit drugs. Symptoms include chest pain, shortness of breath, and dysphagia. A 54-year-old man presented with 2 weeks of shortness of breath, cough, and fever. He was admitted for severe SARS-CoV-2 pneumonia and acute hypoxic respiratory failure requiring non-rebreather mask. Chest imaging on admission showed bilateral peripheral consolidations and pneumomediastinum with subcutaneous emphysema. No precipitating event was identified. He did not require initiation of positive pressure ventilation throughout his admission. On hospital day 7, chest imaging showed resolution of pneumomediastinum and subcutaneous emphysema, and he was successfully discharged on oxygen therapy. Spontaneous pneumomediastinum is a rare complication of severe acute respiratory syndrome coronavirus 2 infection. Spontaneous pneumomediastinum is typically benign and self-limiting, requiring only supportive treatment. SAGE Publications 2021-04-21 /pmc/articles/PMC8064657/ /pubmed/33959284 http://dx.doi.org/10.1177/2050313X211010021 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Hua, Duong T
Shah, Farah
Perez-Corral, Cherlyn
A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature
title A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature
title_full A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature
title_fullStr A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature
title_full_unstemmed A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature
title_short A case of spontaneous pneumomediastinum in a patient with severe SARS-CoV-2 and a review of the literature
title_sort case of spontaneous pneumomediastinum in a patient with severe sars-cov-2 and a review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8064657/
https://www.ncbi.nlm.nih.gov/pubmed/33959284
http://dx.doi.org/10.1177/2050313X211010021
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