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Development of a Large Pneumatocele in a Patient Recovering from COVID-19 Pneumonitis
A 39-year-old man presented with severe COVID-19 pneumonitis requiring hospital admission. He represented three days following discharge with sudden onset breathlessness and chest pain. Initial imaging suggested the presence of a left pneumothorax. Following further clinical decline a plan was made...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SMC Media Srl
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8276921/ https://www.ncbi.nlm.nih.gov/pubmed/34268263 http://dx.doi.org/10.12890/2021_002605 |
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author | Hampson, Frances Salih, Waleed Helm, Jennifer |
author_facet | Hampson, Frances Salih, Waleed Helm, Jennifer |
author_sort | Hampson, Frances |
collection | PubMed |
description | A 39-year-old man presented with severe COVID-19 pneumonitis requiring hospital admission. He represented three days following discharge with sudden onset breathlessness and chest pain. Initial imaging suggested the presence of a left pneumothorax. Following further clinical decline a plan was made to insert a CT guided chest drain. However, imaging in the prone position for the procedure unexpectedly revealed a large left lower lobe pneumatocele with only a very small pneumothorax. Events and appearances suggest that this is a rare case of delayed COVID-19 pneumonitis-related pneumatocele formation. We will discuss the clinical significance of this entity. LEARNING POINTS: Pneumatocele formation should be considered in patients presenting with new respiratory symptoms after completing therapy for COVID-19 pneumonitis. Performing CT examinations with patients in different positions may be required to help exclude the possibility of pneumatocele formation when a loculated pneumothorax is suspected on the supine CT images. |
format | Online Article Text |
id | pubmed-8276921 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SMC Media Srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-82769212021-07-14 Development of a Large Pneumatocele in a Patient Recovering from COVID-19 Pneumonitis Hampson, Frances Salih, Waleed Helm, Jennifer Eur J Case Rep Intern Med Articles A 39-year-old man presented with severe COVID-19 pneumonitis requiring hospital admission. He represented three days following discharge with sudden onset breathlessness and chest pain. Initial imaging suggested the presence of a left pneumothorax. Following further clinical decline a plan was made to insert a CT guided chest drain. However, imaging in the prone position for the procedure unexpectedly revealed a large left lower lobe pneumatocele with only a very small pneumothorax. Events and appearances suggest that this is a rare case of delayed COVID-19 pneumonitis-related pneumatocele formation. We will discuss the clinical significance of this entity. LEARNING POINTS: Pneumatocele formation should be considered in patients presenting with new respiratory symptoms after completing therapy for COVID-19 pneumonitis. Performing CT examinations with patients in different positions may be required to help exclude the possibility of pneumatocele formation when a loculated pneumothorax is suspected on the supine CT images. SMC Media Srl 2021-06-28 /pmc/articles/PMC8276921/ /pubmed/34268263 http://dx.doi.org/10.12890/2021_002605 Text en © EFIM 2021 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is licensed under a Commons Attribution Non-Commercial 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Articles Hampson, Frances Salih, Waleed Helm, Jennifer Development of a Large Pneumatocele in a Patient Recovering from COVID-19 Pneumonitis |
title | Development of a Large Pneumatocele in a Patient Recovering from COVID-19 Pneumonitis |
title_full | Development of a Large Pneumatocele in a Patient Recovering from COVID-19 Pneumonitis |
title_fullStr | Development of a Large Pneumatocele in a Patient Recovering from COVID-19 Pneumonitis |
title_full_unstemmed | Development of a Large Pneumatocele in a Patient Recovering from COVID-19 Pneumonitis |
title_short | Development of a Large Pneumatocele in a Patient Recovering from COVID-19 Pneumonitis |
title_sort | development of a large pneumatocele in a patient recovering from covid-19 pneumonitis |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8276921/ https://www.ncbi.nlm.nih.gov/pubmed/34268263 http://dx.doi.org/10.12890/2021_002605 |
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