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A 17-Year-Old Girl with a Recent History of Marijuana Use Presented with Pneumomediastinum and Pneumopericardium and Tested Positive for SARS-CoV-2 Infection on Hospital Admission.
Khan, Hamza Hassan; Witkowski, Alina; Clark, Jeff A; Mata, Angela.
  • Khan HH; Department of Pediatrics, Ascension St. John Children's Hospital, Detroit, MI, USA.
  • Witkowski A; Department of Pediatric Intensive Care Unit, Ascension St. John Children's Hospital, Detroit, MI, USA.
  • Clark JA; Wayne State University, School of Medicine, Detroit, MI, USA.
  • Mata A; Department of Pediatric Intensive Care Unit, Ascension St. John Children's Hospital, Detroit, MI, USA.
Am J Case Rep ; 22: e931800, 2021 Jun 16.
Article in English | MEDLINE | ID: covidwho-1271059
ABSTRACT
BACKGROUND Pneumomediastinum and pneumopericardium have been reported to occur in people who regularly smoke marijuana and have also been reported in patients with COVID-19 pneumonia due to infection with SARS-CoV-2. This report is of a 17-year-old girl with a history of marijuana use who presented with pneumomediastinum and pneumopericardium and was found to be positive for SARS-CoV-2 infection on hospital admission by Abbott ID NOW testing. CASE REPORT A 17-year-old girl presented to the emergency room with a 3-day history of abdominal pain, nausea, and vomiting and a 1-day history of diarrhea. She had a history of daily marijuana use and lived with her grandmother who was presumed to be positive for COVID-19, based on symptoms. Her admission laboratory results were unremarkable except for pyuria, which was suspicious for urinary tract infection. The patient's nasopharyngeal swab was positive for SARS-CoV-2 infection. Owing to abdominal pain, a computed tomography (CT) scan of the abdomen and pelvis was obtained, which was concerning for pneumomediastinum and pneumopericardium. A CT scan of the thorax confirmed the findings. A contrast-enhanced barium esophagogram was performed and was unremarkable. The patient was admitted to the pediatric intensive care unit for observation and supportive care. CONCLUSIONS This report shows the importance of current testing for SARS-CoV-2 infection in patients of all ages who present acutely to the hospital. It also highlights the importance of obtaining a full social and medical history so that symptoms and signs from causes other than SARS-CoV-2 infection are not missed.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumopericardium / Marijuana Use / COVID-19 / Mediastinal Emphysema Type of study: Case report / Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Child / Female / Humans Language: English Journal: Am J Case Rep Year: 2021 Document Type: Article Affiliation country: AJCR.931800

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumopericardium / Marijuana Use / COVID-19 / Mediastinal Emphysema Type of study: Case report / Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Child / Female / Humans Language: English Journal: Am J Case Rep Year: 2021 Document Type: Article Affiliation country: AJCR.931800