Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia
Pneumothorax was previously considered as a complication of severe coronavirus disease 2019 (COVID-19) pneumonia. However, it is now known that pneumothorax can develop in other cases. Here, we describe the case of a patient who developed tension pneumothorax after release from isolation from COVID-...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322010585 |
| _version_ | 1811176126034214912 |
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| author | Kyoko Yagyu, MD, PhD Yuzo Miki, MD Hidenori Nakagawa, MD Seiichi Shoji, MD, PhD Michinori Shirano, MD, PhD Kiyoko Amo, MD, PhD |
| author_facet | Kyoko Yagyu, MD, PhD Yuzo Miki, MD Hidenori Nakagawa, MD Seiichi Shoji, MD, PhD Michinori Shirano, MD, PhD Kiyoko Amo, MD, PhD |
| author_sort | Kyoko Yagyu, MD, PhD |
| collection | DOAJ |
| description | Pneumothorax was previously considered as a complication of severe coronavirus disease 2019 (COVID-19) pneumonia. However, it is now known that pneumothorax can develop in other cases. Here, we describe the case of a patient who developed tension pneumothorax after release from isolation from COVID-19 pneumonia. The patient was admitted to our hospital with severe COVID-19 pneumonia on the 10th day after onset. Ventilatory management was carried out on the first day of admission; however, the patient was weaned off the next day. The treatment course was uneventful. On the morning of discharge from the hospital, the patient experienced sudden dyspnea. Chest radiography revealed a large left-tension pneumothorax with a mediastinal shift to the right. As this finding required immediate attention, a chest tube was inserted. Chest computed tomography (CT) showed an airspace in the left thoracic cavity and subpleural thin-walled cystic lesions, such as bullae in the left lobe. One month later, chest CT showed resolution of the cystic lesions. The development of pneumothorax in COVID-19 pneumonia should be considered not only in cases of severe illness, but also after release from isolation. Recently, revisions to measures against COVID-19 have been considered worldwide, including shortening of the isolation period and reviewing the identification of all cases. This is an educational report demonstrating that life-threatening pneumothorax may develop after release from isolation due to COVID-19 pneumonia. |
| first_indexed | 2024-04-10T19:47:06Z |
| format | Article |
| id | doaj.art-2583a7b055544e398fdd85aec1e84bc7 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-10T19:47:06Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-2583a7b055544e398fdd85aec1e84bc72023-01-29T04:20:07ZengElsevierRadiology Case Reports1930-04332023-03-01183903906Life-threatening pneumothorax after release from isolation with COVID-19 pneumoniaKyoko Yagyu, MD, PhD0Yuzo Miki, MD1Hidenori Nakagawa, MD2Seiichi Shoji, MD, PhD3Michinori Shirano, MD, PhD4Kiyoko Amo, MD, PhD5Department of Infectious Diseases, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, Japan; Corresponding author.Department of Respiratory Medicine, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, JapanDepartment of Infectious Diseases, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, JapanDepartment of Respiratory Medicine, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, JapanDepartment of Infectious Diseases, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, JapanDepartment of Pediatric Emergency, Children's Medical Center, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, JapanPneumothorax was previously considered as a complication of severe coronavirus disease 2019 (COVID-19) pneumonia. However, it is now known that pneumothorax can develop in other cases. Here, we describe the case of a patient who developed tension pneumothorax after release from isolation from COVID-19 pneumonia. The patient was admitted to our hospital with severe COVID-19 pneumonia on the 10th day after onset. Ventilatory management was carried out on the first day of admission; however, the patient was weaned off the next day. The treatment course was uneventful. On the morning of discharge from the hospital, the patient experienced sudden dyspnea. Chest radiography revealed a large left-tension pneumothorax with a mediastinal shift to the right. As this finding required immediate attention, a chest tube was inserted. Chest computed tomography (CT) showed an airspace in the left thoracic cavity and subpleural thin-walled cystic lesions, such as bullae in the left lobe. One month later, chest CT showed resolution of the cystic lesions. The development of pneumothorax in COVID-19 pneumonia should be considered not only in cases of severe illness, but also after release from isolation. Recently, revisions to measures against COVID-19 have been considered worldwide, including shortening of the isolation period and reviewing the identification of all cases. This is an educational report demonstrating that life-threatening pneumothorax may develop after release from isolation due to COVID-19 pneumonia.http://www.sciencedirect.com/science/article/pii/S1930043322010585BullaCOVID-19IsolationPneumothorax |
| spellingShingle | Kyoko Yagyu, MD, PhD Yuzo Miki, MD Hidenori Nakagawa, MD Seiichi Shoji, MD, PhD Michinori Shirano, MD, PhD Kiyoko Amo, MD, PhD Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia Radiology Case Reports Bulla COVID-19 Isolation Pneumothorax |
| title | Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia |
| title_full | Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia |
| title_fullStr | Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia |
| title_full_unstemmed | Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia |
| title_short | Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia |
| title_sort | life threatening pneumothorax after release from isolation with covid 19 pneumonia |
| topic | Bulla COVID-19 Isolation Pneumothorax |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322010585 |
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