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Astımlı COVID-19 Hastasında Pnömomediastinum

Year 2023, , 351 - 353, 01.09.2023
https://doi.org/10.53394/akd.975554

Abstract

Spontan pnömomediastinum alveol rüptürene bağlı gelişen nadir bir hastalıktır. Şimdiye kadar COVID-19 ile ilgili birçok pnömomediastinum vakası bildirilmiştir, ancak bu hastaların çoğunda ciddi hastalık ve yaygın parankim hasarı vardı. Pnömomediastinum, bu kadar küçük bir akciğer infiltrasyonu ile COVID-19'da oldukça nadirdir. Aşırı öksürüğün neden olduğu artmış alveoler basıncın bir sonucu olarak ortaya çıktığı varsayılmaktadır. Burada, tipik COVID-19 semptomları olan ve göğüs bilgisayarlı tomografisinde fokal buzlu cam opasitesi ve pnömomediastinumu olan ve kardiyak veya solunum komplikasyonları olmaksızın spontan gerileyen astımlı bir hastayı sunuyoruz.

References

  • 1. Wali A, Rizzo V, Bille A, Routledge T, Chambers AJ. Pneumomediastinum following intubation in COVID-19 patients: a case series. Anaesthesia. 2020 Aug;75(8):1076-1081. doi: 10.1111/anae.15113. Epub 2020 Jun 11. PMID: 32375200; PMCID: PMC7267505.
  • 2. Kolani S, Houari N, Haloua M, Alaoui Lamrani Y, Boubbou M, Serraj M, Aamara B, Maaroufi M, Alami B. Spontaneous pneumomediastinum occurring in the SARS-COV-2 infection. IDCases. 2020 May 11;21:e00806. doi: 10.1016/j.idcr.2020.e00806. PMID: 32395425; PMCID: PMC7212974.
  • 3. Zhou C, Gao C, Xie Y, Xu M. COVID-19 with spontaneous pneumomediastinum. Lancet Infect Dis. 2020 Apr;20(4):510. doi: 10.1016/S1473-3099(20)30156-0. Epub 2020 Mar 9. PMID: 32164830; PMCID: PMC7128610.
  • 4. Fang Y, Zhang H, Xie J, Lin M, Ying L, Pang P, Ji W. Sensitivity of Chest CT for COVID-19: Comparison to RT-PCR. Radiology. 2020 Aug;296(2):E115-E117. doi: 10.1148/radiol.2020200432. Epub 2020 Feb 19. PMID: 32073353; PMCID: PMC7233365.
  • 5. Li Y, Yao L, Li J, Chen L, Song Y, Cai Z, Yang C. Stability issues of RT-PCR testing of SARS-CoV-2 for hospitalized patients clinically diagnosed with COVID-19. J Med Virol. 2020 Jul;92(7):903-908. doi: 10.1002/jmv.25786. Epub 2020 Apr 5. PMID: 32219885; PMCID: PMC7228231.
  • 6. Onigbinde SO, Ojo AS, Fleary L, Hage R. Chest Computed Tomography Findings in COVID-19 and Influenza: A Narrative Review. Biomed Res Int. 2020 Jun 5;2020:6928368. doi: 10.1155/2020/6928368. PMID: 32596354; PMCID: PMC7275219.

Pneumomediastinum in an asthmatic patient with COVID-19

Year 2023, , 351 - 353, 01.09.2023
https://doi.org/10.53394/akd.975554

Abstract

Spontaneous pneumomediastinum is a rare disease that develops due to alveolar rupture. Many cases with pneumomediastinum, related to Corona Virus Disease-19 (COVID-19) have been reported so far, but most of these patients had severe disease and extensive parenchymal damage. Pneumomediastinum is fairly rare in COVID-19 with such a little lung infiltration. It is supposed to occur as a result of the increased intra-alveolar pressure induced by an excessive cough. Here, we present a patient with asthma with typical symptoms of COVID-19 on chest computerized tomography (CT) and focal ground-glass opacity and pneumomediastinum, which spontaneously regressed without cardiac or respiratory complications.

References

  • 1. Wali A, Rizzo V, Bille A, Routledge T, Chambers AJ. Pneumomediastinum following intubation in COVID-19 patients: a case series. Anaesthesia. 2020 Aug;75(8):1076-1081. doi: 10.1111/anae.15113. Epub 2020 Jun 11. PMID: 32375200; PMCID: PMC7267505.
  • 2. Kolani S, Houari N, Haloua M, Alaoui Lamrani Y, Boubbou M, Serraj M, Aamara B, Maaroufi M, Alami B. Spontaneous pneumomediastinum occurring in the SARS-COV-2 infection. IDCases. 2020 May 11;21:e00806. doi: 10.1016/j.idcr.2020.e00806. PMID: 32395425; PMCID: PMC7212974.
  • 3. Zhou C, Gao C, Xie Y, Xu M. COVID-19 with spontaneous pneumomediastinum. Lancet Infect Dis. 2020 Apr;20(4):510. doi: 10.1016/S1473-3099(20)30156-0. Epub 2020 Mar 9. PMID: 32164830; PMCID: PMC7128610.
  • 4. Fang Y, Zhang H, Xie J, Lin M, Ying L, Pang P, Ji W. Sensitivity of Chest CT for COVID-19: Comparison to RT-PCR. Radiology. 2020 Aug;296(2):E115-E117. doi: 10.1148/radiol.2020200432. Epub 2020 Feb 19. PMID: 32073353; PMCID: PMC7233365.
  • 5. Li Y, Yao L, Li J, Chen L, Song Y, Cai Z, Yang C. Stability issues of RT-PCR testing of SARS-CoV-2 for hospitalized patients clinically diagnosed with COVID-19. J Med Virol. 2020 Jul;92(7):903-908. doi: 10.1002/jmv.25786. Epub 2020 Apr 5. PMID: 32219885; PMCID: PMC7228231.
  • 6. Onigbinde SO, Ojo AS, Fleary L, Hage R. Chest Computed Tomography Findings in COVID-19 and Influenza: A Narrative Review. Biomed Res Int. 2020 Jun 5;2020:6928368. doi: 10.1155/2020/6928368. PMID: 32596354; PMCID: PMC7275219.
There are 6 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Hulya Dirol 0000-0002-7712-6467

İlknur Aksu Yalçınkaya 0000-0002-4550-7310

Early Pub Date August 30, 2023
Publication Date September 1, 2023
Submission Date July 28, 2021
Published in Issue Year 2023

Cite

Vancouver Dirol H, Aksu Yalçınkaya İ. Pneumomediastinum in an asthmatic patient with COVID-19. Akd Tıp D. 2023;9(3):351-3.