Bünyamin SERTOĞULLARINDAN, Ceyda ANAR, Onur TURAN, Mehmet ÜNAL, Betül DOĞAN, Şebnem KARAOĞLANOĞLU, Süheyla UYGUR

COVID-19 Pnömonisi ve Pnömotoraks: 6 Olguluk Seri

Hem pnömotoraks hem de pnömomediastinum entübasyonun komplikasyonlarıdır. COVID-19 hastalarında barotravma olmasa bile pnömotoraks veya pnömomediastinum mevcut olabilir. Burada, pnömotoraks ve/veya pnömomediasteni olan 6 hastayı sunuyoruz. COVID PCR testi hepsinde pozitif çıktı. Olguların ikisine tüp torakostomi uygulanmadı. Biri pnömomediastinumdu ve parankimde pnömotoraks yoktu, diğerinde sağ akciğerde minimal pnömotoraks vardı. Yoğun bakım ünitesinde yatış öyküsü ve yaygın cilt altı amfizem ve pnömomediasten öyküsü olan bir olguya bilateral tüp torakostomi uygulandı. Hastalarımızda mortalite olmadı. Sonuç olarak, spontan pnömomediastinum ve pnömotoraks, COVID-19 enfeksiyonunda yaygın bir tablo değildir ve COVID-19 pnömonisinin tedavisinde potansiyel olarak ağırlaştırıcı bir faktör olabilir.

COVID-19 Pneumonia and Pneumothorax: Series of Six Cases

Both pneumothorax and pneumomediastinum are complications of intubation. Pneumothorax or pneumomediastinum may be present in COVID-19 patients even in the absence of barotrauma. Here, we report 6 patients with pneumothorax and / or pneumomediastinum. COVID PCR test was positive in all. Tube thoracostomy was not performed in two of the cases. One of them was pneumomediastinum and there was no pneumothorax in the parenchyma and the other one had minimal pneumothorax in the right lung. Bilateral tube thorocostomy was performed in one of the cases, with a history of hospitalization in the intensive care unit and extensive subcutaneous emphysema and pneumomediastinum. There was no mortality in our patients. Consequently, spontaneous pneumomediastinum and pneumothorax are not a common picture in COVID-19 infection and could potentially be an aggravating factor in the treatment of COVID-19 pneumonia.

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