Pneumomediastinum in a patient with COVID-19 due to diffuse alveolar damage

A 74-year-old man with COVID-19 was admitted and experienced progressive dyspnoea while receiving supplemental oxygen via high-flow nasal cannula (HFNC). A CT of the thorax showed a pneumomediastinum. The HFNC was temporally interrupted, since it was uncertain whether the positive end-expiratory pre...

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Autores principales: Heijboer, Frank, Oswald, Laurien, Cretier, Sander, Braunstahl, Gert-Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8117474/
https://www.ncbi.nlm.nih.gov/pubmed/33975848
http://dx.doi.org/10.1136/bcr-2021-242527
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author Heijboer, Frank
Oswald, Laurien
Cretier, Sander
Braunstahl, Gert-Jan
author_facet Heijboer, Frank
Oswald, Laurien
Cretier, Sander
Braunstahl, Gert-Jan
author_sort Heijboer, Frank
collection PubMed
description A 74-year-old man with COVID-19 was admitted and experienced progressive dyspnoea while receiving supplemental oxygen via high-flow nasal cannula (HFNC). A CT of the thorax showed a pneumomediastinum. The HFNC was temporally interrupted, since it was uncertain whether the positive end-expiratory pressure of the HFNC could be the cause of the pneumomediastinum. After restart of the HFNC, there was no increase of symptoms. We suggest that the pneumomediastinum was the result of COVID-19-related alveolar damage, and not due to the use of HFNC. This observation is relevant since HFNC is often used in the treatment of severe COVID-19 pneumonia.
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spelling pubmed-81174742021-05-13 Pneumomediastinum in a patient with COVID-19 due to diffuse alveolar damage Heijboer, Frank Oswald, Laurien Cretier, Sander Braunstahl, Gert-Jan BMJ Case Rep Case Report A 74-year-old man with COVID-19 was admitted and experienced progressive dyspnoea while receiving supplemental oxygen via high-flow nasal cannula (HFNC). A CT of the thorax showed a pneumomediastinum. The HFNC was temporally interrupted, since it was uncertain whether the positive end-expiratory pressure of the HFNC could be the cause of the pneumomediastinum. After restart of the HFNC, there was no increase of symptoms. We suggest that the pneumomediastinum was the result of COVID-19-related alveolar damage, and not due to the use of HFNC. This observation is relevant since HFNC is often used in the treatment of severe COVID-19 pneumonia. BMJ Publishing Group 2021-05-11 /pmc/articles/PMC8117474/ /pubmed/33975848 http://dx.doi.org/10.1136/bcr-2021-242527 Text en © BMJ Publishing Group Limited 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Heijboer, Frank
Oswald, Laurien
Cretier, Sander
Braunstahl, Gert-Jan
Pneumomediastinum in a patient with COVID-19 due to diffuse alveolar damage
title Pneumomediastinum in a patient with COVID-19 due to diffuse alveolar damage
title_full Pneumomediastinum in a patient with COVID-19 due to diffuse alveolar damage
title_fullStr Pneumomediastinum in a patient with COVID-19 due to diffuse alveolar damage
title_full_unstemmed Pneumomediastinum in a patient with COVID-19 due to diffuse alveolar damage
title_short Pneumomediastinum in a patient with COVID-19 due to diffuse alveolar damage
title_sort pneumomediastinum in a patient with covid-19 due to diffuse alveolar damage
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8117474/
https://www.ncbi.nlm.nih.gov/pubmed/33975848
http://dx.doi.org/10.1136/bcr-2021-242527
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