The coronavirus diseases 2019 (COVID-19) pneumonia with spontaneous pneumothorax: a case report

BMC Infectious Diseases

Yueting Tang¹  Zhiyong Peng²  Huaqin Pan²  Xiaoxing Chen³  Guqin Zhang⁴ 

[1] Department of Clinical Laboratory, Zhongnan Hospital of Wuhan University;Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University;Department of Geriatrics, Renmin Hospital of Wuhan University, Wuhan University;Department of Respiratory and Critical Care Medicine, Zhongnan Hospital of Wuhan University;

关键词: COVID-19;    SARS-CoV-2 virus;    Pneumonia;    Pneumothorax;   

DOI  :  10.1186/s12879-020-05384-x

来源: DOAJ

【 摘 要 】

Abstract Background The outbreak of the novel coronavirus (COVID-19) that was firstly reported in Wuhan, China, with cases now confirmed in more than 100 countries. However, COVID-19 pneumonia with spontaneous pneumothorax is unknown. Case presentation We reported a case of 66-year-old man infected with COVID-19, presenting with fever, cough and myalgia; The patient received supportive and empirical treatment including antiviral treatment, anti-inflammatory treatment, oxygen supply and inhalation therapy; The symptoms, CT images, laboratory results got improved after the treatments, and a throat swab was negative for COVID-19 PCR test; However, on the hospital day 30, the patient presented with a sudden chest pain and dyspnea. CT showed a 30–40% left-sided pneumothorax. Immediate thoracic closed drainage was performed and his dyspnea was rapidly improved. With five more times negative PCR tests for SARS-CoV-2 virus, the patient was discharged and home quarantine. Conclusion This case highlights the importance for clinicians to pay attention to the appearance of spontaneous pneumothorax, especially patients with severe pulmonary damage for a long course, as well as the need for early image diagnose CT and effective treatment once pneumothorax occurs.

【 授权许可】

Unknown