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Late-onset pneumothorax in a COVID-19 patient treated with ventilation and ECMO: A case report and literature review
- Source :
- Radiology Case Reports, Vol 15, Iss 12, Pp 2560-2564 (2020)
- Publication Year :
- 2020
- Publisher :
- Elsevier, 2020.
-
Abstract
- Coronavirus disease 2019 (COVID-19) has become a major threat to public health since the outbreak in Wuhan in 2019. Chest computed tomography is recommended for COVID-19 cases for evaluation and follow up of pneumonia and related complication. We report the case of a 66-year-old man with underlying hypertension and a history of smoking 76 packs a year; he was frequently monitored by computed tomography for pulmonary changes during the period from early symptom onset to death. Furthermore, he developed a pneumothorax during the course. The occurrence of pneumothorax in COVID-19 patients is not common, and there have been only a few previous reports. This is a valuable case of pneumothorax in a patient with COVID-19 treated with a ventilator and extracorporeal membrane oxygenation. This case and previous reports suggest that pneumothorax occurs in COVID-19 with a relatively late onset (3–8 weeks). Long-term pneumonia morbidity, steroid therapy, positive pressure ventilation, and extracorporeal membrane oxygenation can cause pneumothorax, leading to capillary and alveolar damage.
Details
- Language :
- English
- ISSN :
- 19300433
- Volume :
- 15
- Issue :
- 12
- Database :
- Directory of Open Access Journals
- Journal :
- Radiology Case Reports
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.0c1055d5a84d11bba527a5b0c9fb59
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.radcr.2020.09.036