Spontaneous pneumomediastinum in patients with COVID-19 pneumonia
##plugins.themes.academic_pro.article.main##
Abstract
Introduction: Spontaneous pneumomediastinum (SPM) is a rare affection in general population. Only few cases have been reported
during this ongoing global pandemic of Coronavirus-2019 (COVID-19). The ethipathogeny of this complication is poorly understood.
Observations: we reported ten cases of SPM complicating coronavirus pneumonia. There were six me and four women. Age varies from 32
to 66 years. Pneumonia was severe for all cases defined by a bloo oxygen saturation < 90% on admission. All patients were hospitalized in
intensive care unit and treated by high-flow oxygen for nine patients and non-rebreather masks for one patient. Repeated chest computed
tomography (CT) scan showed resolution of the pneumomediastinum and appearance of signs of pulmonary fibrosis for four cases.
Conclusions: Chest CT scan must be performed in front of any sudden deterioration in respiratory status of patients with COVID-19
pneumonia to not miss mechanical complication such as SPM. This complication seems to be associated with severe forms of COVID-19.
during this ongoing global pandemic of Coronavirus-2019 (COVID-19). The ethipathogeny of this complication is poorly understood.
Observations: we reported ten cases of SPM complicating coronavirus pneumonia. There were six me and four women. Age varies from 32
to 66 years. Pneumonia was severe for all cases defined by a bloo oxygen saturation < 90% on admission. All patients were hospitalized in
intensive care unit and treated by high-flow oxygen for nine patients and non-rebreather masks for one patient. Repeated chest computed
tomography (CT) scan showed resolution of the pneumomediastinum and appearance of signs of pulmonary fibrosis for four cases.
Conclusions: Chest CT scan must be performed in front of any sudden deterioration in respiratory status of patients with COVID-19
pneumonia to not miss mechanical complication such as SPM. This complication seems to be associated with severe forms of COVID-19.
Keywords:
Severe acute respiratory syndrome coronavirus 2, Diagnostic, Complication, prognosis##plugins.themes.academic_pro.article.details##
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
- - Underner M, Peiffer G, Perriot J, Jaafari N. Ref 1 : Spontaneous pneumomediastinum: A rare complication of COVID-19. Rev Mal Respir 2020; 37 :680-3.
- - Chu C M, Leung Y Y, Hui J Y H, Hung I F N, Chan V L, Leung W S et al. Spontaneous pneumomediastinum in patients with severe acute respiratory syndrom. Eur Respir J 2004; 23: 802-4.
- - World Health Organization. COVID-19 clinical management: living guidance, 25 Novermber 2021
- - Li Y, Xia L. Coronavirus disease 2019 (COVID-19): role of chest CT in diagnosis and management. Am J Roentgenol 2020;214:1280-6
- - Allaoui A, Aboudib F, Bouissar W, Echchilali K, Moudatir M, Alaoui F Z et al. Spontaneous pneumomediastinum: A rare complication of dermatomyositis. Rev Pneumol Clin 2017; 73: 258-62.
- - Reyes S, Roche B, Kazzaz F, Ocasionez D, Lal A, Martin R et al. Pneumothorax and pneumomediastinum in COVID-19: a case series. Am J Med Sci 2020 ; 20 : 30512-7.
- - Groves N, Tobin A. High flow nasal oxygen generates positive airway pressure in adult volunteers. Aust Crit Care 2007; 20: 126-31