Salih YİĞİT, Gökçen ÖMEROĞLU ŞİMŞEK, Eyüp Sabri UÇAN

COVID-19 PNÖMONİSİ İLİŞKİLİ SPONTAN PNÖMOMEDİASTİNUM

COVID-19 ile ilgili yayınlar çoğaldıkça, hastalık ve komplikasyonları hakkında bilinenler gün geçtikçe artmaktadır. Pnömomediastinum da bu komplikasyonlardan biridir. Bu makalede 23 yaşında pnömediastinumla komplike olan, medikal tedavi ile sorunsuz taburcu edilen COVID-19 pnömonisi olgusunun sunulması amaçlandı. Şimdiye kadar yayınlanan olgu sunumlarında ileri yaşta, komorbiditesi olan ve mekanik ventilatör ile solunum desteği ihtiyacı olan olgular literatüre kaydedilmiştir. Diğer olgulardan farklı olarak hastamızda ilginç olan pnömomediastinuma yol açacak mekanik ventilatör, pozitif havayolu basıncı, travma, bronşial astma gibi predispozan bir faktörün olmamasıydı. Göğüs ağrısı şikayeti olan COVID- 19 pnomoni olgularında pnömomediasten gelişebileceği akılda tutulmalıdır.

Spontaneous pneumomediastinum related to COVID-19 pneumonia

As the researches on COVID-19 increases, knowledge about the disease and its complications is increasing day by day. Pneumomediastinum is one of these complications. In this article, it was aimed to present a 23-year-old case of COVID-19 pneumonia complicated with pneumoediastinum and discharged with medical treatment. In case reports published so far, cases in advanced age, with comorbidities, with need of respiratory support with a mechanical ventilator were recorded in the literature. Interestingly, unlike other cases, our patient did not have a predisposing factor such as a mechanical ventilator, positive airway pressure, trauma, and bronchial asthma, which would lead to spontaneous pneumomediastinum. It should be noted that pneumomediastinum may develope in COVID-19 pneumonia cases with chest pain.

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