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DOI 10.1016/j.rmcr.2020.101230

Медицинская библиотека · Respiratory medicine case reports · 2020

COVID-19 pneumonia complicated by bilateral pneumothorax: A case report.

Shirai Tsuyoshi, Mitsumura Takahiro, Aoyagi Kei, Okamoto Tsukasa, Kimura Moyu, Gemma Taku, Shigematsu Takaaki, Takahashi Junichi, Azuma Seishin, Yoshizuka Riku, Sasaki Hirokazu, Urushibata Nao, Ochiai Kanae, Hondo Kenichi, Morishita Koji, Aiboshi Junichi, Otomo Yasuhiro, Miyazaki Yasunari

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Аннотация

BACKGROUND

Pneumothorax is a rare but life-threatening complication associated with pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

CASE PRESENTATION: Informed consent was obtained from the patient himself.A 50-year-old man presented with a 9-day history of fever, cough, and dyspnoea. He was diagnosed with coronavirus disease 2019 (COVID-19) pneumonia and was admitted to the Medical Hospital, Tokyo Medical and Dental University. Chest CT showed diffuse patchy ground-glass opacities (GGOs). His state of oxygenation deteriorated, and mechanical ventilation was initiated on day 4 after admission (12th day from onset). He improved gradually and was weaned from ventilation on day 15. Sudden onset of bilateral pneumothorax occurred on day 21 with severe respiratory failure, and chest CT revealed pneumatocele formation on both lower lobes.

CONCLUSIONS

Pneumothorax is a notable complication in cases of severe COVID-19 pneumonia, especially in those who require positive-pressure ventilation.

Для цитирования: Shirai Tsuyoshi, Mitsumura Takahiro, Aoyagi Kei, Okamoto Tsukasa, Kimura Moyu, Gemma Taku, Shigematsu Takaaki, Takahashi Junichi, Azuma Seishin, Yoshizuka Riku, Sasaki Hirokazu, Urushibata Nao, Ochiai Kanae, Hondo Kenichi, Morishita Koji, Aiboshi Junichi, Otomo Yasuhiro, Miyazaki Yasunari. COVID-19 pneumonia complicated by bilateral pneumothorax: A case report.. Respiratory medicine case reports. 2020. DOI: 10.1016/j.rmcr.2020.101230.
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