ABSTRACT
Since the declaration of COVID-19 infection as Pandemic in March, 2020, There has been rise in Multisystem Complications apart from regular Acute Respiratory Syndrome which is hallmark of COVID-19 infection. As the second wave surge of COVID-19 has occurred, most of the patients already suffered from dyspnoea but also rare complications like CVA (Infarct and Haemorrhage) , Seizure and altered sensorium related to Hypoxic Brain Injury. COVID-19 frequently presents with a state of altered coagulability which increases the risk of pulmonary embolism and other Thrombotic events such as Cerebrovascular events. This case report is limited to Neurological complications seen in COVID-19 Infected patients
ABSTRACT
Coronavirus Disease 2019 (COVID-19) is a Respiratory Tract Infection (RTI) caused by a newly emergent Coronavirus, that was first recognized in Wuhan, China, in December 2019. Genetic sequencing of the virus suggests that it is a Beta Coronavirus closely linked to the SARS virus1. By the end of 2019, several cases of Pneumonia with unknown aetiology were reported in Wuhan, China2-5. Most cases progressed to Acute Respiratory Distress Syndrome (ARDS)2. As the second wave surge of COVID-19 has occurred, most of the patients already suffered from dyspnoea but rare complications also seen more frequently in respiratory presentation. Cases of Pneumothorax and Subcutaneous emphysema is not seen frequently in COVID-19 patients so far. Here we are presenting two unusual complications in COVID-19 patients of our COVID facility. The possibility of spontaneous Pneumothorax/Tension Pneumothorax should be kept in differential diagnosis in COVID-19 patient presented with severe breathlessness and on higher settings of Non-invasive ventilation and on higher respiratory assistance can cause Subcutaneous emphysema