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Life-threatening pneumothorax after release from isolation with COVID-19 pneumonia.
Yagyu, Kyoko; Miki, Yuzo; Nakagawa, Hidenori; Shoji, Seiichi; Shirano, Michinori; Amo, Kiyoko.
  • Yagyu K; Department of Infectious Diseases, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, Japan.
  • Miki Y; Department of Respiratory Medicine, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, Japan.
  • Nakagawa H; Department of Infectious Diseases, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, Japan.
  • Shoji S; Department of Respiratory Medicine, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, Japan.
  • Shirano M; Department of Infectious Diseases, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, Japan.
  • Amo K; Department of Pediatric Emergency, Children's Medical Center, Osaka City General Hospital, 2-13-22 Miyakojimahondori Myakojima-ku Osaka 534-0021, Japan.
Radiol Case Rep ; 18(3): 903-906, 2023 Mar.
Article in English | MEDLINE | ID: covidwho-2165784
ABSTRACT
Pneumothorax was previously considered as a complication of severe coronavirus disease 2019 (COVID-19) pneumonia. However, it is now known that pneumothorax can develop in other cases. Here, we describe the case of a patient who developed tension pneumothorax after release from isolation from COVID-19 pneumonia. The patient was admitted to our hospital with severe COVID-19 pneumonia on the 10th day after onset. Ventilatory management was carried out on the first day of admission; however, the patient was weaned off the next day. The treatment course was uneventful. On the morning of discharge from the hospital, the patient experienced sudden dyspnea. Chest radiography revealed a large left-tension pneumothorax with a mediastinal shift to the right. As this finding required immediate attention, a chest tube was inserted. Chest computed tomography (CT) showed an airspace in the left thoracic cavity and subpleural thin-walled cystic lesions, such as bullae in the left lobe. One month later, chest CT showed resolution of the cystic lesions. The development of pneumothorax in COVID-19 pneumonia should be considered not only in cases of severe illness, but also after release from isolation. Recently, revisions to measures against COVID-19 have been considered worldwide, including shortening of the isolation period and reviewing the identification of all cases. This is an educational report demonstrating that life-threatening pneumothorax may develop after release from isolation due to COVID-19 pneumonia.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Radiol Case Rep Year: 2023 Document Type: Article Affiliation country: J.radcr.2022.11.075

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Radiol Case Rep Year: 2023 Document Type: Article Affiliation country: J.radcr.2022.11.075