Astımlı COVID-19 Hastasında Pnömomediastinum

Öz

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.

Anahtar Kelimeler

• COVID-19
• Pnömomediastinum
• Öksürük
• Alveol

Pneumomediastinum in an asthmatic patient with COVID-19

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.

Keywords

• COVID-19
• Pneumomediastinum
• Cough
• Alveolus

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