A case report, bilateral spontaneous pneumothorax as a late complication for SARS CoV-2 infection

The beta-coronavirus discovered in Wuhan in 2019 (COVID-19) provokes a series of affections from mild symptoms to life-threatening complications. There is evidence that associates the disease to spontaneous pneumothorax, however, the mechanism is unknown. The patient was a 45-year-old male with prev...

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Main Authors: Miguel Angel Plata-Corona, MD, Mayra Alejandra López-Aguilar, MD, Juan Manuel Ibarra-Hernández, PhD, Jorge Tello-Cavazos, MD, Luis Fernando Marcial-Cuevas, MD
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322001911
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author Miguel Angel Plata-Corona, MD
Mayra Alejandra López-Aguilar, MD
Juan Manuel Ibarra-Hernández, PhD
Jorge Tello-Cavazos, MD
Luis Fernando Marcial-Cuevas, MD
author_facet Miguel Angel Plata-Corona, MD
Mayra Alejandra López-Aguilar, MD
Juan Manuel Ibarra-Hernández, PhD
Jorge Tello-Cavazos, MD
Luis Fernando Marcial-Cuevas, MD
author_sort Miguel Angel Plata-Corona, MD
collection DOAJ
description The beta-coronavirus discovered in Wuhan in 2019 (COVID-19) provokes a series of affections from mild symptoms to life-threatening complications. There is evidence that associates the disease to spontaneous pneumothorax, however, the mechanism is unknown. The patient was a 45-year-old male with previous pneumonia due to COVID-19 who was attended the emergency department, where chest radiography was taken, confirming the diagnosis of right pneumothorax. However, the patient developed a new episode of pleuritic pain three days later, and a new radiograph showed left pneumothorax requiring a new chest tube. The simple tomography shows intraparenchymal bullae in the apical region of both lungs. The patient was kept under observation, and when improving, both endopleural chest drains were removed, and the patient was discharged. Spontaneous bilateral pneumothorax is a rare and potentially life-threatening complication. Identifying pulmonary bullae in patients with COVID-19 could be an early sign for these patients to develop spontaneous pneumothorax.
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spelling doaj.art-fe770bf371c14b0a8e29846979b6ac5c2022-12-22T02:01:40ZengElsevierRadiology Case Reports1930-04332022-06-0117622652268A case report, bilateral spontaneous pneumothorax as a late complication for SARS CoV-2 infectionMiguel Angel Plata-Corona, MD0Mayra Alejandra López-Aguilar, MD1Juan Manuel Ibarra-Hernández, PhD2Jorge Tello-Cavazos, MD3Luis Fernando Marcial-Cuevas, MD4General Surgery Department, Specialty Hospital National Medical Center “La Raza” Instituto Mexicano del Seguro Social, Azcapotzalco s/n, La Raza, Azcapotzalco, Ciudad de México, C.P. 02990, México; General Surgery Department, General Regional Hospital No. 196 “Fidel Velázquez Sánchez” Instituto Mexicano del Seguro Social. Avenida Central esquina la Piedad s/n, San Agustín Tercera Sección, Ecatepec, Estado de México, C.P. 55130, México; Corresponding author.Medicine School, Universidad Popular Autónoma de Puebla, Av 21 Sur 1103, Barrio de Santiago, Puebla, C.P. 72410, Puebla, MéxicoInstitute of Physiology, Benemérita Universidad Autónoma de Puebla, 14 Sur. 6301, Ciudad Universitaria, Jardines de San Manuel, Puebla, Puebla, C. P. 72570, MéxicoClinical Neurophysiology Service, Specialty Hospital “Dr. Bernardo Sepúlveda Gutiérrez” del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Av Cuauhtémoc 330, Doctores, Cuauhtémoc, Ciudad de México, C.P. 06720, MéxicoGeneral Surgery Department, Specialty Hospital National Medical Center “La Raza” Instituto Mexicano del Seguro Social, Azcapotzalco s/n, La Raza, Azcapotzalco, Ciudad de México, C.P. 02990, México; General Surgery Department, General Regional Hospital No. 196 “Fidel Velázquez Sánchez” Instituto Mexicano del Seguro Social. Avenida Central esquina la Piedad s/n, San Agustín Tercera Sección, Ecatepec, Estado de México, C.P. 55130, MéxicoThe beta-coronavirus discovered in Wuhan in 2019 (COVID-19) provokes a series of affections from mild symptoms to life-threatening complications. There is evidence that associates the disease to spontaneous pneumothorax, however, the mechanism is unknown. The patient was a 45-year-old male with previous pneumonia due to COVID-19 who was attended the emergency department, where chest radiography was taken, confirming the diagnosis of right pneumothorax. However, the patient developed a new episode of pleuritic pain three days later, and a new radiograph showed left pneumothorax requiring a new chest tube. The simple tomography shows intraparenchymal bullae in the apical region of both lungs. The patient was kept under observation, and when improving, both endopleural chest drains were removed, and the patient was discharged. Spontaneous bilateral pneumothorax is a rare and potentially life-threatening complication. Identifying pulmonary bullae in patients with COVID-19 could be an early sign for these patients to develop spontaneous pneumothorax.http://www.sciencedirect.com/science/article/pii/S1930043322001911COVID-19SARS-CoV-2Spontaneous bilateral pneumothoraxPulmonary bullae
spellingShingle Miguel Angel Plata-Corona, MD
Mayra Alejandra López-Aguilar, MD
Juan Manuel Ibarra-Hernández, PhD
Jorge Tello-Cavazos, MD
Luis Fernando Marcial-Cuevas, MD
A case report, bilateral spontaneous pneumothorax as a late complication for SARS CoV-2 infection
Radiology Case Reports
COVID-19
SARS-CoV-2
Spontaneous bilateral pneumothorax
Pulmonary bullae
title A case report, bilateral spontaneous pneumothorax as a late complication for SARS CoV-2 infection
title_full A case report, bilateral spontaneous pneumothorax as a late complication for SARS CoV-2 infection
title_fullStr A case report, bilateral spontaneous pneumothorax as a late complication for SARS CoV-2 infection
title_full_unstemmed A case report, bilateral spontaneous pneumothorax as a late complication for SARS CoV-2 infection
title_short A case report, bilateral spontaneous pneumothorax as a late complication for SARS CoV-2 infection
title_sort case report bilateral spontaneous pneumothorax as a late complication for sars cov 2 infection
topic COVID-19
SARS-CoV-2
Spontaneous bilateral pneumothorax
Pulmonary bullae
url http://www.sciencedirect.com/science/article/pii/S1930043322001911
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