ABSTRACT
Background: Coronavirus disease 2019 (Covid-19) is associated with spontaneous pneumomediastinum (SPM) predominantly in those after positive pressure ventilation (PPV) support. Additionally, many cases of venous thromboembolism (VTE) in COVID-19 patients were described. Our case is the first to describe SPM and VTE present on admission in a patient with Covid -19 pneumonia. Case report: A 53-year-old man presented to the hospital with escalating dyspnea. Two weeks prior to this visit, he had been evaluated in an ambulatory setting and was started on antibiotics and systemic steroids. In the hospital, this patient was found to be in acute hypoxic respiratory failure and was placed on noninvasive PPV. Diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was confirmed by reverse transcriptase-polymerase chain reaction (RT-PCR) test from nasopharyngeal swab specimen. Chest computed tomography (CT) scan revealed multi-lobar pulmonary emboli (PE) and subcutaneous emphysema with pneumomediastinum. The patient was managed conservatively. He never required closed invasive mechanical ventilation. Subsequent serial imaging displayed the resolution of SPM. Conclusion: The association between VTE and COVID-19 has been established. This report brings attention to SPM as an additional important complication of COVID-19, even in patients without pre-existing predisposing pathology or exposure to PPV.
ABSTRACT
We aimed to study the characteristics and differences between survivors and non-survivors among the patients admitted to our Intensive Care Unit (ICU) with severe infection. B Methods: b We included a cohort of survivors and non-survivors admitted with the diagnosis of COVID-19 to our ICU between March 2020 and June 2020. B Conclusions: b In this cohort of critically ill COVID-19 patients, non-survivors had higher severity of illness scores throughout their ICU stay, were male and older, and required more vasopressor and renal replacement therapy support. [Extracted from the article] Copyright of Critical Care Medicine is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
ABSTRACT
B Methods: b This is a retrospective cohort study of COVID-19 positive patients with AKI admitted to the ICU at Anne Arundel Medical Center (AAMC) between March 2020 and June 2020. Our aim was to describe the clinical characteristics and comparative outcomes between these two groups of COVID-19 patients admitted to the Intensive care Unit (ICU). B Introduction/Hypothesis: b Severe COVID-19 is associated with multiple organ dysfunction and commonly results in acute kidney injury (AKI). [Extracted from the article] Copyright of Critical Care Medicine is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)