Spontaneous pneumomediastinum and subcutaneous emphysema in a non-intubated COVID-19 patient: a case report

The Pan African Medical Journal

Muhammad Saad Choudhry¹  Anosh Aslam Khan²  Farah Yasmin²  Sumeen Jalees²  Osama Mohiuddin²  Tahir Ahmed Jatoi² 

[1] Department of Surgery, Dow University of Health Sciences, Karachi, Pakistan;Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan;

关键词: covid-19;    pneumomediastinum;    subcutaneous emphysema;    emergency department;   

DOI  :  10.11604/pamj.2021.38.37.27543

来源: DOAJ

【 摘 要 】

The development of spontaneous pneumomediastinum and subcutaneous emphysema are few of the rare clinical manifestations observed in coronavirus disease-19 (COVID-19) patients which are yet to be fully understood. Most cases of spontaneous pneumomediastinum arises due to factors causing high intra-alveolar pressure. Herein, we report a case of a COVID-19 positive elderly male, who presented with spontaneous pneumomediastinum and subcutaneous emphysema unrelated to high-pressure ventilatory measures, detected on chest computed tomography (CT). Despite acute medical care, the patient progressed towards a more serious clinical course. Male gender and diffuse alveolar damage caused by COVID-19 seems to be the most relevant association in this case. However, we have enlightened other possible pathological mechanisms and their association with severity index of COVID-19.

【 授权许可】

Unknown