Article: Giant lung bulla as a late-onset complication of mild SARS-CoV-2 pneumonia.
Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace
2023
Abstract: A 49-year-old Caucasian man was admitted to the Emergency Department for shortness of breath and cough. CT imaging showed bilateral a mild COVID-19 related pneumonia. He was hospitalized in the low-intensity COVID-19 unit where he received O2 therapy and ...
| Abstract | A 49-year-old Caucasian man was admitted to the Emergency Department for shortness of breath and cough. CT imaging showed bilateral a mild COVID-19 related pneumonia. He was hospitalized in the low-intensity COVID-19 unit where he received O2 therapy and oral corticosteroids (CS). Three weeks after discharge a high-resolution computed tomography (HRCT) find a giant bulla of the inferior lobe. The bulla was resected by video-assisted thoracoscopic surgery (VATS) and the patient recovered completely. In our patient, it is reasonable to suspect that the development of the bulla is a result of SARS-CoV-2 infection, since no bulla was observed in the first HRCT two months before. SARS-CoV-2 related pneumonia may be responsible for lung remodeling due to diffuse alveolar damage and later interstitial myofibroblastic proliferation. Corticosteroids might have played a role in increasing SARS-CoV-2 dystrophic action. COVID-19 leads to pulmonary damages, which are still partially unknown and might result in development of bullae. In fit patient surgical treatment can be carried out safely. |
|---|---|
| Language | English |
| Publishing date | 2023-09-27 |
| Publishing country | Italy |
| Document type | Journal Article |
| ZDB-ID | 1160940-0 |
| ISSN | 1122-0643 ; 1120-0391 |
| ISSN | 1122-0643 ; 1120-0391 |
| DOI | 10.4081/monaldi.2023.2559 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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