Spontaneous Pneumomediastinum in a 16-Year-Old Patient with SARS-CoV-2 Infection: A North-East Romanian Case
Spontaneous pneumomediastinum (SPM) associated with SARS-CoV-2 infection is a rare condition but can represent a medical emergency. It is probably related to alveolar damage secondary to SARS-CoV-2 infection, which allows air to escape in the surrounding lung tissue. Cough and airways’ barotrauma ar...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-10-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/9/11/1641 |
| _version_ | 1797468750913470464 |
|---|---|
| author | Florin Filip Monica Terteliu Baitan Olga Adriana Caliman Sturdza Roxana Gheorghita Puscaselu Roxana Filip |
| author_facet | Florin Filip Monica Terteliu Baitan Olga Adriana Caliman Sturdza Roxana Gheorghita Puscaselu Roxana Filip |
| author_sort | Florin Filip |
| collection | DOAJ |
| description | Spontaneous pneumomediastinum (SPM) associated with SARS-CoV-2 infection is a rare condition but can represent a medical emergency. It is probably related to alveolar damage secondary to SARS-CoV-2 infection, which allows air to escape in the surrounding lung tissue. Cough and airways’ barotrauma are also mentioned as contributing mechanisms. Treatment is generally conservative, but surgery may be required in severe cases. This paper presents the case of a 16-year-old girl with COVID-19-associated SPM who was treated conservatively in our department. The clinical course was favorable with resolution of respiratory symptoms and radiological (chest CT scan) image of pneumomediastinum. The patient was discharged 7 days after the confirmation of the initial SP diagnosis with appropriate treatment and recommendations for isolation. The sudden occurrence of chest pain and dyspnea should raise the suspicion of SPM in COVID-19 patients. Close surveillance and proper radiological monitoring are required in such cases. Treatment should be strictly individualized based on clinical course and radiological appearance. |
| first_indexed | 2024-03-09T19:10:51Z |
| format | Article |
| id | doaj.art-f4b84d2ce7a94ab6aef42573e24e23a9 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T19:10:51Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-f4b84d2ce7a94ab6aef42573e24e23a92023-11-24T04:11:26ZengMDPI AGChildren2227-90672022-10-01911164110.3390/children9111641Spontaneous Pneumomediastinum in a 16-Year-Old Patient with SARS-CoV-2 Infection: A North-East Romanian CaseFlorin Filip0Monica Terteliu Baitan1Olga Adriana Caliman Sturdza2Roxana Gheorghita Puscaselu3Roxana Filip4Faculty of Medicine and Biological Sciences, Stefan cel Mare University of Suceava, 720229 Suceava, RomaniaFaculty of Medicine and Biological Sciences, Stefan cel Mare University of Suceava, 720229 Suceava, RomaniaFaculty of Medicine and Biological Sciences, Stefan cel Mare University of Suceava, 720229 Suceava, RomaniaFaculty of Medicine and Biological Sciences, Stefan cel Mare University of Suceava, 720229 Suceava, RomaniaFaculty of Medicine and Biological Sciences, Stefan cel Mare University of Suceava, 720229 Suceava, RomaniaSpontaneous pneumomediastinum (SPM) associated with SARS-CoV-2 infection is a rare condition but can represent a medical emergency. It is probably related to alveolar damage secondary to SARS-CoV-2 infection, which allows air to escape in the surrounding lung tissue. Cough and airways’ barotrauma are also mentioned as contributing mechanisms. Treatment is generally conservative, but surgery may be required in severe cases. This paper presents the case of a 16-year-old girl with COVID-19-associated SPM who was treated conservatively in our department. The clinical course was favorable with resolution of respiratory symptoms and radiological (chest CT scan) image of pneumomediastinum. The patient was discharged 7 days after the confirmation of the initial SP diagnosis with appropriate treatment and recommendations for isolation. The sudden occurrence of chest pain and dyspnea should raise the suspicion of SPM in COVID-19 patients. Close surveillance and proper radiological monitoring are required in such cases. Treatment should be strictly individualized based on clinical course and radiological appearance.https://www.mdpi.com/2227-9067/9/11/1641spontaneous pneumomediastinumCOVID-19 infectionchildchest CT scan |
| spellingShingle | Florin Filip Monica Terteliu Baitan Olga Adriana Caliman Sturdza Roxana Gheorghita Puscaselu Roxana Filip Spontaneous Pneumomediastinum in a 16-Year-Old Patient with SARS-CoV-2 Infection: A North-East Romanian Case Children spontaneous pneumomediastinum COVID-19 infection child chest CT scan |
| title | Spontaneous Pneumomediastinum in a 16-Year-Old Patient with SARS-CoV-2 Infection: A North-East Romanian Case |
| title_full | Spontaneous Pneumomediastinum in a 16-Year-Old Patient with SARS-CoV-2 Infection: A North-East Romanian Case |
| title_fullStr | Spontaneous Pneumomediastinum in a 16-Year-Old Patient with SARS-CoV-2 Infection: A North-East Romanian Case |
| title_full_unstemmed | Spontaneous Pneumomediastinum in a 16-Year-Old Patient with SARS-CoV-2 Infection: A North-East Romanian Case |
| title_short | Spontaneous Pneumomediastinum in a 16-Year-Old Patient with SARS-CoV-2 Infection: A North-East Romanian Case |
| title_sort | spontaneous pneumomediastinum in a 16 year old patient with sars cov 2 infection a north east romanian case |
| topic | spontaneous pneumomediastinum COVID-19 infection child chest CT scan |
| url | https://www.mdpi.com/2227-9067/9/11/1641 |
| work_keys_str_mv | AT florinfilip spontaneouspneumomediastinumina16yearoldpatientwithsarscov2infectionanortheastromaniancase AT monicaterteliubaitan spontaneouspneumomediastinumina16yearoldpatientwithsarscov2infectionanortheastromaniancase AT olgaadrianacalimansturdza spontaneouspneumomediastinumina16yearoldpatientwithsarscov2infectionanortheastromaniancase AT roxanagheorghitapuscaselu spontaneouspneumomediastinumina16yearoldpatientwithsarscov2infectionanortheastromaniancase AT roxanafilip spontaneouspneumomediastinumina16yearoldpatientwithsarscov2infectionanortheastromaniancase |