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Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia

Pneumothorax was previously considered as a complication of severe coronavirus disease 2019 (COVID-19) pneumonia. However, it is now known that pneumothorax can develop in other cases. Here, we describe the case of a patient who developed tension pneumothorax after release from isolation from COVID-...

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Autores principales: Yagyu, Kyoko, Miki, Yuzo, Nakagawa, Hidenori, Shoji, Seiichi, Shirano, Michinori, Amo, Kiyoko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779413/
https://www.ncbi.nlm.nih.gov/pubmed/36575750
http://dx.doi.org/10.1016/j.radcr.2022.11.075
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author Yagyu, Kyoko
Miki, Yuzo
Nakagawa, Hidenori
Shoji, Seiichi
Shirano, Michinori
Amo, Kiyoko
author_facet Yagyu, Kyoko
Miki, Yuzo
Nakagawa, Hidenori
Shoji, Seiichi
Shirano, Michinori
Amo, Kiyoko
author_sort Yagyu, Kyoko
collection PubMed
description Pneumothorax was previously considered as a complication of severe coronavirus disease 2019 (COVID-19) pneumonia. However, it is now known that pneumothorax can develop in other cases. Here, we describe the case of a patient who developed tension pneumothorax after release from isolation from COVID-19 pneumonia. The patient was admitted to our hospital with severe COVID-19 pneumonia on the 10th day after onset. Ventilatory management was carried out on the first day of admission; however, the patient was weaned off the next day. The treatment course was uneventful. On the morning of discharge from the hospital, the patient experienced sudden dyspnea. Chest radiography revealed a large left-tension pneumothorax with a mediastinal shift to the right. As this finding required immediate attention, a chest tube was inserted. Chest computed tomography (CT) showed an airspace in the left thoracic cavity and subpleural thin-walled cystic lesions, such as bullae in the left lobe. One month later, chest CT showed resolution of the cystic lesions. The development of pneumothorax in COVID-19 pneumonia should be considered not only in cases of severe illness, but also after release from isolation. Recently, revisions to measures against COVID-19 have been considered worldwide, including shortening of the isolation period and reviewing the identification of all cases. This is an educational report demonstrating that life-threatening pneumothorax may develop after release from isolation due to COVID-19 pneumonia.
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spelling pubmed-97794132022-12-23 Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia Yagyu, Kyoko Miki, Yuzo Nakagawa, Hidenori Shoji, Seiichi Shirano, Michinori Amo, Kiyoko Radiol Case Rep Case Report Pneumothorax was previously considered as a complication of severe coronavirus disease 2019 (COVID-19) pneumonia. However, it is now known that pneumothorax can develop in other cases. Here, we describe the case of a patient who developed tension pneumothorax after release from isolation from COVID-19 pneumonia. The patient was admitted to our hospital with severe COVID-19 pneumonia on the 10th day after onset. Ventilatory management was carried out on the first day of admission; however, the patient was weaned off the next day. The treatment course was uneventful. On the morning of discharge from the hospital, the patient experienced sudden dyspnea. Chest radiography revealed a large left-tension pneumothorax with a mediastinal shift to the right. As this finding required immediate attention, a chest tube was inserted. Chest computed tomography (CT) showed an airspace in the left thoracic cavity and subpleural thin-walled cystic lesions, such as bullae in the left lobe. One month later, chest CT showed resolution of the cystic lesions. The development of pneumothorax in COVID-19 pneumonia should be considered not only in cases of severe illness, but also after release from isolation. Recently, revisions to measures against COVID-19 have been considered worldwide, including shortening of the isolation period and reviewing the identification of all cases. This is an educational report demonstrating that life-threatening pneumothorax may develop after release from isolation due to COVID-19 pneumonia. Elsevier 2022-12-22 /pmc/articles/PMC9779413/ /pubmed/36575750 http://dx.doi.org/10.1016/j.radcr.2022.11.075 Text en © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yagyu, Kyoko
Miki, Yuzo
Nakagawa, Hidenori
Shoji, Seiichi
Shirano, Michinori
Amo, Kiyoko
Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia
title Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia
title_full Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia
title_fullStr Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia
title_full_unstemmed Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia
title_short Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia
title_sort life-threatening pneumothorax after release from isolation with covid-19 pneumonia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779413/
https://www.ncbi.nlm.nih.gov/pubmed/36575750
http://dx.doi.org/10.1016/j.radcr.2022.11.075
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