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Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient

Cavitation and pneumothorax are independently associated with high morbidity and mortality in coronavirus disease-2019 (COVID-19). While spontaneous (non-traumatic) pneumothorax formation has commonly been observed among mechanically ventilated COVID-19 patients, there are few rare reports of COVID-...

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Autores principales: Vardhan, Bhagya, Biswas, Payel, Chatterjee, Subhankar, Mishra, Sudhanshu, Baskey, Surendra, Ojha, Umesh K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067220/
https://www.ncbi.nlm.nih.gov/pubmed/35516715
http://dx.doi.org/10.4103/jfmpc.jfmpc_1455_21
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author Vardhan, Bhagya
Biswas, Payel
Chatterjee, Subhankar
Mishra, Sudhanshu
Baskey, Surendra
Ojha, Umesh K.
author_facet Vardhan, Bhagya
Biswas, Payel
Chatterjee, Subhankar
Mishra, Sudhanshu
Baskey, Surendra
Ojha, Umesh K.
author_sort Vardhan, Bhagya
collection PubMed
description Cavitation and pneumothorax are independently associated with high morbidity and mortality in coronavirus disease-2019 (COVID-19). While spontaneous (non-traumatic) pneumothorax formation has commonly been observed among mechanically ventilated COVID-19 patients, there are few rare reports of COVID-19 associated pneumothorax without any history of barotrauma and other conventional risk factors. Here, we report a unique case of post-COVID-19 cavitation and tension pneumothorax which was further complicated by hydropneumothorax formation in a young patient who suffered severe COVID-19 pneumonia 4 weeks back. As the patient was devoid of any conventional risk factors, we believe that persistent inflammatory alveolar damage even after clinical recovery from COVID-19 played a key role in pulmonary cavitation followed by pneumothorax formation. With prompt clinical and radiological recognition of these fatal, yet treatable complications of COVID-19 pneumonia, the patient was saved and had an uneventful recovery.
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spelling pubmed-90672202022-05-04 Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient Vardhan, Bhagya Biswas, Payel Chatterjee, Subhankar Mishra, Sudhanshu Baskey, Surendra Ojha, Umesh K. J Family Med Prim Care Case Report Cavitation and pneumothorax are independently associated with high morbidity and mortality in coronavirus disease-2019 (COVID-19). While spontaneous (non-traumatic) pneumothorax formation has commonly been observed among mechanically ventilated COVID-19 patients, there are few rare reports of COVID-19 associated pneumothorax without any history of barotrauma and other conventional risk factors. Here, we report a unique case of post-COVID-19 cavitation and tension pneumothorax which was further complicated by hydropneumothorax formation in a young patient who suffered severe COVID-19 pneumonia 4 weeks back. As the patient was devoid of any conventional risk factors, we believe that persistent inflammatory alveolar damage even after clinical recovery from COVID-19 played a key role in pulmonary cavitation followed by pneumothorax formation. With prompt clinical and radiological recognition of these fatal, yet treatable complications of COVID-19 pneumonia, the patient was saved and had an uneventful recovery. Wolters Kluwer - Medknow 2022-04 2022-03-18 /pmc/articles/PMC9067220/ /pubmed/35516715 http://dx.doi.org/10.4103/jfmpc.jfmpc_1455_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Vardhan, Bhagya
Biswas, Payel
Chatterjee, Subhankar
Mishra, Sudhanshu
Baskey, Surendra
Ojha, Umesh K.
Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient
title Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient
title_full Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient
title_fullStr Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient
title_full_unstemmed Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient
title_short Post-COVID-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient
title_sort post-covid-19 pulmonary cavitation and tension pneumothorax in a non-ventilated patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067220/
https://www.ncbi.nlm.nih.gov/pubmed/35516715
http://dx.doi.org/10.4103/jfmpc.jfmpc_1455_21
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