Giant lung bulla as a late-onset complication of mild SARS-CoV-2 pneumonia
A 49-year-old Caucasian man was admitted to the Emergency Department for shortness of breath and cough. CT imaging showed bilateral a mild COVID-19 related pneumonia. He was hospitalized in the low-intensity COVID-19 unit where he received O2 therapy and oral corticosteroids (CS). Three weeks after...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2023-09-01
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| Series: | Monaldi Archives for Chest Disease |
| Subjects: | |
| Online Access: | https://www.monaldi-archives.org/index.php/macd/article/view/2559 |
| _version_ | 1797672279182671872 |
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| author | Matteo Petroncini Leonardo Valentini Piergiorgio Solli Pietro Bertoglio |
| author_facet | Matteo Petroncini Leonardo Valentini Piergiorgio Solli Pietro Bertoglio |
| author_sort | Matteo Petroncini |
| collection | DOAJ |
| description |
A 49-year-old Caucasian man was admitted to the Emergency Department for shortness of breath and cough. CT imaging showed bilateral a mild COVID-19 related pneumonia. He was hospitalized in the low-intensity COVID-19 unit where he received O2 therapy and oral corticosteroids (CS). Three weeks after discharge a high-resolution computed tomography (HRCT) find a giant bulla of the inferior lobe. The bulla was resected by video-assisted thoracoscopic surgery (VATS) and the patient recovered completely. In our patient, it is reasonable to suspect that the development of the bulla is a result of SARS-CoV-2 infection, since no bulla was observed in the first HRCT two months before. SARS-CoV-2 related pneumonia may be responsible for lung remodeling due to diffuse alveolar damage and later interstitial myofibroblastic proliferation. Corticosteroids might have played a role in increasing SARS-CoV-2 dystrophic action. COVID-19 leads to pulmonary damages, which are still partially unknown and might result in development of bullae. In fit patient surgical treatment can be carried out safely.
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| first_indexed | 2024-03-11T21:26:38Z |
| format | Article |
| id | doaj.art-2f5831a38c25405a942a0441bea26d3e |
| institution | Directory Open Access Journal |
| issn | 1122-0643 2532-5264 |
| language | English |
| last_indexed | 2024-03-11T21:26:38Z |
| publishDate | 2023-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj.art-2f5831a38c25405a942a0441bea26d3e2023-09-27T18:46:33ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642023-09-0110.4081/monaldi.2023.2559Giant lung bulla as a late-onset complication of mild SARS-CoV-2 pneumoniaMatteo Petroncini0Leonardo Valentini1Piergiorgio Solli2Pietro Bertoglio3Division of Thoracic Surgery, IRCCS Azienda Ospedaliera-Universitaria di BolognaDivision of Thoracic Surgery, IRCCS Azienda Ospedaliera-Universitaria di BolognaDivision of Thoracic Surgery, IRCCS Azienda Ospedaliera-Universitaria di BolognaDivision of Thoracic Surgery, IRCCS Azienda Ospedaliera-Universitaria di Bologna A 49-year-old Caucasian man was admitted to the Emergency Department for shortness of breath and cough. CT imaging showed bilateral a mild COVID-19 related pneumonia. He was hospitalized in the low-intensity COVID-19 unit where he received O2 therapy and oral corticosteroids (CS). Three weeks after discharge a high-resolution computed tomography (HRCT) find a giant bulla of the inferior lobe. The bulla was resected by video-assisted thoracoscopic surgery (VATS) and the patient recovered completely. In our patient, it is reasonable to suspect that the development of the bulla is a result of SARS-CoV-2 infection, since no bulla was observed in the first HRCT two months before. SARS-CoV-2 related pneumonia may be responsible for lung remodeling due to diffuse alveolar damage and later interstitial myofibroblastic proliferation. Corticosteroids might have played a role in increasing SARS-CoV-2 dystrophic action. COVID-19 leads to pulmonary damages, which are still partially unknown and might result in development of bullae. In fit patient surgical treatment can be carried out safely. https://www.monaldi-archives.org/index.php/macd/article/view/2559Emphysemabullaeminimally invasive surgeryCOVID-19 |
| spellingShingle | Matteo Petroncini Leonardo Valentini Piergiorgio Solli Pietro Bertoglio Giant lung bulla as a late-onset complication of mild SARS-CoV-2 pneumonia Monaldi Archives for Chest Disease Emphysema bullae minimally invasive surgery COVID-19 |
| title | Giant lung bulla as a late-onset complication of mild SARS-CoV-2 pneumonia |
| title_full | Giant lung bulla as a late-onset complication of mild SARS-CoV-2 pneumonia |
| title_fullStr | Giant lung bulla as a late-onset complication of mild SARS-CoV-2 pneumonia |
| title_full_unstemmed | Giant lung bulla as a late-onset complication of mild SARS-CoV-2 pneumonia |
| title_short | Giant lung bulla as a late-onset complication of mild SARS-CoV-2 pneumonia |
| title_sort | giant lung bulla as a late onset complication of mild sars cov 2 pneumonia |
| topic | Emphysema bullae minimally invasive surgery COVID-19 |
| url | https://www.monaldi-archives.org/index.php/macd/article/view/2559 |
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