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  1. Article ; Online: COVID-19 with spontaneous pneumothorax, pneumomediastinum, and subcutaneous emphysema in the intensive care unit: Two case reports.

    Alharthy, Abdulrahman / Bakirova, Gultakin H / Bakheet, Homaida / Balhamar, Abdullah / Brindley, Peter G / Alqahtani, Saleh A / Memish, Ziad A / Karakitsos, Dimitrios

    Journal of infection and public health

    2020  Volume 14, Issue 3, Page(s) 290–292

    Abstract: ... In these two case-reports, COVID-19 presented as pneumothorax, pneumomediastinum and subcutaneous emphysema ... posterior distribution are mandatory in the diagnosis of COVID-19. COVID-19 pneumonia may present ... aware of their potential effects on the cardiorespiratory status of critically ill COVID-19 patients ...

    Abstract Real-Time-reverse-transcription-Polymerase-Chain-Reaction from nasopharyngeal swabs and chest computed tomography (CT) depicting typically bilateral ground-glass opacities with a peripheral and/or posterior distribution are mandatory in the diagnosis of COVID-19. COVID-19 pneumonia may present though with atypical features such as pleural and pericardial effusions, lymphadenopathy, cavitations, and CT halo sign. In these two case-reports, COVID-19 presented as pneumothorax, pneumomediastinum and subcutaneous emphysema in critically ill patients. These disorders may require treatment or can be even self-limiting. Clinicians should be aware of their potential effects on the cardiorespiratory status of critically ill COVID-19 patients. Finally, pneumothorax can be promptly diagnosed by means of lung ultrasound. Although operator dependent, lung ultrasound is a useful bedside diagnostic tool that could alleviate the risk of cross-infection related to COVID-19 patient transport.
    MeSH term(s) COVID-19/complications ; Humans ; Intensive Care Units ; Male ; Mediastinal Emphysema/diagnostic imaging ; Mediastinal Emphysema/virology ; Middle Aged ; Pneumothorax/diagnostic imaging ; Pneumothorax/virology ; Subcutaneous Emphysema/diagnostic imaging ; Subcutaneous Emphysema/virology
    Language English
    Publishing date 2020-12-29
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1876-035X
    ISSN (online) 1876-035X
    DOI 10.1016/j.jiph.2020.12.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Pneumothorax in Mechanically Ventilated Patients with COVID-19 Infection.

    Akdogan, Raziye Ecem / Mohammed, Turab / Syeda, Asma / Jiwa, Nasheena / Ibrahim, Omar / Mutneja, Rahul

    Case reports in critical care

    2021  Volume 2021, Page(s) 6657533

    Abstract: ... of intubated patients in the intensive care unit with the diagnosis of COVID-19 pneumonia and pneumothorax were ... pneumomediastinum and massive subcutaneous emphysema, and one of these two had an additional pneumoperitoneum ... with COVID-19 pneumonia is limited. Reports of spontaneous pneumothorax in patients with coronavirus disease ...

    Abstract Data on patient-related factors associated with pneumothorax among critically ill patients with COVID-19 pneumonia is limited. Reports of spontaneous pneumothorax in patients with coronavirus disease 2019 (COVID-19) suggest that the COVID-19 infection could itself cause pneumothorax in addition to the ventilator-induced trauma among mechanically ventilated patients. Here, we report a case series of five mechanically ventilated patients with COVID-19 infection who developed pneumothorax. Consecutive cases of intubated patients in the intensive care unit with the diagnosis of COVID-19 pneumonia and pneumothorax were included. Data on their demographics, preexisting risk factors, laboratory workup, imaging findings, treatment, and survival were collected retrospectively between March and July 2020. Four out of five patients (4/5; 80%) had a bilateral pneumothorax, while one had a unilateral pneumothorax. Of the four patients with bilateral pneumothorax, three (3/4; 75%) had secondary bacterial pneumonia, two had pneumomediastinum and massive subcutaneous emphysema, and one of these two had an additional pneumoperitoneum. A surgical chest tube or pigtail catheter was placed for the management of pneumothorax. Three out of five patients with pneumothorax died (3/5; 60%), and all of them had bilateral involvement. The data from these cases suggest that pneumothorax is a potentially fatal complication of COVID-19 infection. Large prospective studies are needed to study the incidence of pneumothorax and its sequelae in patients with COVID-19 infection.
    Language English
    Publishing date 2021-01-11
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2927720-6
    ISSN 2090-6439 ; 2090-6420
    ISSN (online) 2090-6439
    ISSN 2090-6420
    DOI 10.1155/2021/6657533
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Massive emphysema subcutis, pneumothorax, pneumomediastinum and pneumoperitoneum as uncommon complication of covid-19 pneumonia, a rare case.

    Utomo, Sri Andreani / Notopuro, Francisca / Rosalina, Shinta

    Radiology case reports

    2021  Volume 16, Issue 8, Page(s) 2133–2138

    Abstract: ... disease 2019 (COVID-19). Pneumothorax, pneumomediastinum, pneumoperitoneum, and massive emphysema subcutis ... emphysema subcutis, pneumomediastinum, and pneumothorax are identified from chest X-ray. An Unenhanced thoraco ... weeks later. He was admitted to the intensive care unit and was given a ventilator. Pneumonia, massive ...

    Abstract We should be aware of the uncommon presentation during the pandemic scenario of the Coronavrus disease 2019 (COVID-19). Pneumothorax, pneumomediastinum, pneumoperitoneum, and massive emphysema subcutis are uncommon complications of COVID-19 Pneumonia. The presence of pneumomediastinum and massive emphysema subcutis were rarely reported in the literature. We present a 69-year-old man with COVID-19 Pneumonia with these complications who were managed conservatively and experienced spontaneous resolution of the complications two weeks later. He was admitted to the intensive care unit and was given a ventilator. Pneumonia, massive emphysema subcutis, pneumomediastinum, and pneumothorax are identified from chest X-ray. An Unenhanced thoraco-abdominal computed tomography Scan revealed the presence of a small pneumoperitoneum. However, a computed tomography scan of the abdomen and pelvis did not show any evidence of bowel perforation. It is necessary to detect these complications earlier, so the management can reduce the associated morbidity and mortality.
    Language English
    Publishing date 2021-05-09
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2406300-9
    ISSN 1930-0433
    ISSN 1930-0433
    DOI 10.1016/j.radcr.2021.05.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Massive emphysema subcutis, pneumothorax, pneumomediastinum and pneumoperitoneum as uncommon complication of covid-19 pneumonia, a rare case

    Sri Andreani Utomo, MD / Francisca Notopuro, MD / Shinta Rosalina, MD

    Radiology Case Reports, Vol 16, Iss 8, Pp 2133-

    2021  Volume 2138

    Abstract: ... disease 2019 (COVID-19). Pneumothorax, pneumomediastinum, pneumoperitoneum, and massive emphysema subcutis ... emphysema subcutis, pneumomediastinum, and pneumothorax are identified from chest X-ray. An Unenhanced thoraco ... weeks later. He was admitted to the intensive care unit and was given a ventilator. Pneumonia, massive ...

    Abstract We should be aware of the uncommon presentation during the pandemic scenario of the Coronavrus disease 2019 (COVID-19). Pneumothorax, pneumomediastinum, pneumoperitoneum, and massive emphysema subcutis are uncommon complications of COVID-19 Pneumonia. The presence of pneumomediastinum and massive emphysema subcutis were rarely reported in the literature.We present a 69-year-old man with COVID-19 Pneumonia with these complications who were managed conservatively and experienced spontaneous resolution of the complications two weeks later. He was admitted to the intensive care unit and was given a ventilator. Pneumonia, massive emphysema subcutis, pneumomediastinum, and pneumothorax are identified from chest X-ray. An Unenhanced thoraco-abdominal computed tomography Scan revealed the presence of a small pneumoperitoneum. However, a computed tomography scan of the abdomen and pelvis did not show any evidence of bowel perforation. It is necessary to detect these complications earlier, so the management can reduce the associated morbidity and mortality.
    Keywords COVID-19 Pneumonia ; Massive emphysema subcutis ; Pneumothorax ; Pneumomediastinum ; Pneumoperitoneum ; Rare case ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Language English
    Publishing date 2021-08-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: COVID-19 with spontaneous pneumothorax, pneumomediastinum, and subcutaneous emphysema in the intensive care unit

    Abdulrahman Alharthy / Gultakin H. Bakirova / Homaida Bakheet / Abdullah Balhamar / Peter G. Brindley / Saleh A. Alqahtani / Ziad A. Memish / Dimitrios Karakitsos

    Journal of Infection and Public Health, Vol 14, Iss 3, Pp 290-

    Two case reports

    2021  Volume 292

    Abstract: ... In these two case-reports, COVID-19 presented as pneumothorax, pneumomediastinum and subcutaneous emphysema ... posterior distribution are mandatory in the diagnosis of COVID-19. COVID-19 pneumonia may present ... aware of their potential effects on the cardiorespiratory status of critically ill COVID-19 patients ...

    Abstract Real-Time-reverse-transcription-Polymerase-Chain-Reaction from nasopharyngeal swabs and chest computed tomography (CT) depicting typically bilateral ground-glass opacities with a peripheral and/or posterior distribution are mandatory in the diagnosis of COVID-19. COVID-19 pneumonia may present though with atypical features such as pleural and pericardial effusions, lymphadenopathy, cavitations, and CT halo sign. In these two case-reports, COVID-19 presented as pneumothorax, pneumomediastinum and subcutaneous emphysema in critically ill patients. These disorders may require treatment or can be even self-limiting. Clinicians should be aware of their potential effects on the cardiorespiratory status of critically ill COVID-19 patients. Finally, pneumothorax can be promptly diagnosed by means of lung ultrasound. Although operator dependent, lung ultrasound is a useful bedside diagnostic tool that could alleviate the risk of cross-infection related to COVID-19 patient transport.
    Keywords COVID-19 ; Pneumothorax ; Pneumomediastinum ; Subcutaneous emphysema ; Chest computed tomography ; Lung ultrasound ; Infectious and parasitic diseases ; RC109-216 ; Public aspects of medicine ; RA1-1270
    Subject code 610
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Kategorien

    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

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