Pneumomediastinum as a complication of COVID-19 disease: A case report

As the COVID-19 pandemic progresses, awareness of uncommon presentations of the disease increases. Such is the case with pneumomediastinum. Recent evidence has suggested that these can occur in the context of COVID19 pneumonia, even in the absence of mechanical ventilation-related barotrauma. We present a patient with COVID-19 pneumonia complicated by pneumomediastinum.

CovId-19 hastalığının bir komplikasyonu olarak pnömomediastinum: Bir olgu sunumu

COVID-19 salgınında vaka sayısı arttıkça, hastalığın nadir görülen komplikasyonları da ortaya çıkmaya başladı. Pnömomediastinum da bunlardan biridir. Son kanıtlar, bunların COVID-19 pnömonisi sonucunda mekanik ventilasyonla ilişkili barotravma olmasa bile meydana gelebileceğini gösterdi. Biz de COVID19 enfeksiyonu sonrası pnömomediastinum gelişen bir olguyu sunuyoruz.

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1. Yao W. Emergency tracheal intubation in 202 patients with COVID-19 in Wuhan, China: lessons learnt and international expert recommendations. Br J Anaesth 2020; 125: e28-e37.

2. Jacobi A, Chung M, Bernheim A, Eber C. Portable chest X-ray in coronavirus disease-19 (COVID-19): a pictorial review. Clin Imaging 2020; 64: 35-42.

3. Salehi S, Abedi A, Balakrishnan S, Gholamrezanezhad A. Coronavirus disease 2019 (COVID-19): a systematic review of imaging findings in 919 patients. AJR Am J Roentgenol 2020; 215: 87-93.

4. Zhou C, Gao C, Xie Y, Xu M. COVID-19 with spontaneous pneumomediastinum. Lancet Infect Dis 2020; 510.

5. Zu ZY, Jiang MD, Xu PP. Coronavirus disease 2019 (COVID-19): a perspective from China. Radiology 2020; 200490.

6. Quincho-Lopez A, Quincho-Lopez DL, Hurtado-Medina FD. Case Report: Pneumothorax and pneumomediastinum as uncommon complications of COVID-19 pneumonia—literature review Am J Trop Med Hyg 2020; 103(3): 1170-6.

7. Park SJ, Park JY, Jung J, Park SY. Clinical manifestations of spontaneous pneumomediastinum. Korean J Thorac Cardiovasc Surg 2016; 49(4): 287-91.

8. Dionísio P, Martins L, Moreira S, Manique A, El Correia I, Bárbara C. Spontaneous pneumomediastinum: a 10 years’ experience of a pulmonology ward. Eur Respir J 2015; 46: 4323.

9. Park SY, Kim MG, Kim EJ. Spontaneous pneumomediastinum, pneumothorax, and subcutaneous emphysema complicating H1N1 Virus infection. Korean J Med 2011; 80 (Suppl 2).

10. Luis BAL, Navarro AO, Palacios GMR. Pneumomediastinum and subcutaneous emphysema associated with influenza A (H1N1) virus. Lancet Infect Dis 2017; 17: 671.

11. Singh BP, Shetty GS, Vijayan PA. Management of pneumomediastinum associated with H1N1 pneumonia: a case report. J Crit Care Med 2019; 5(1): 28-33.

12. Kolani S, Nawfal H, Haloua M, Lamrani YA, Boubbou M, Serraj M, et al. Spontaneous pneumomediastinum occurring in the SARS-COV-2 infection. 2020; 21: e00806.

13. Mohan V, Tauseen RA. Spontaneous pneumomediastinum in COVID-19. BMJ Case Rep 2020; 13: 1-2.

14. Wang W, Gao R, Zheng Y, Jiang L. COVID-19 with spontaneous pneumothorax, pneumomediastinum and subcutaneous emphysema. J Travel Med 2020.