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The coronavirus diseases 2019 (COVID-19) pneumonia with spontaneous pneumothorax: a case report.
Chen, Xiaoxing; Zhang, Guqin; Tang, Yueting; Peng, Zhiyong; Pan, Huaqin.
  • Chen X; Department of Geriatrics, Renmin Hospital of Wuhan University, Wuhan University, Wuhan, China.
  • Zhang G; Department of Respiratory and Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
  • Tang Y; Department of Clinical Laboratory, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
  • Peng Z; Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, 169 Eastlake Rd., Wuchang district, Wuhan, 430071, Hubei province, China.
  • Pan H; Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, 169 Eastlake Rd., Wuchang district, Wuhan, 430071, Hubei province, China. phq2012@whu.edu.cn.
BMC Infect Dis ; 20(1): 662, 2020 Sep 09.
Article in English | MEDLINE | ID: covidwho-751233
ABSTRACT

BACKGROUND:

The outbreak of the novel coronavirus (COVID-19) that was firstly reported in Wuhan, China, with cases now confirmed in more than 100 countries. However, COVID-19 pneumonia with spontaneous pneumothorax is unknown. CASE PRESENTATION We reported a case of 66-year-old man infected with COVID-19, presenting with fever, cough and myalgia; The patient received supportive and empirical treatment including antiviral treatment, anti-inflammatory treatment, oxygen supply and inhalation therapy; The symptoms, CT images, laboratory results got improved after the treatments, and a throat swab was negative for COVID-19 PCR test; However, on the hospital day 30, the patient presented with a sudden chest pain and dyspnea. CT showed a 30-40% left-sided pneumothorax. Immediate thoracic closed drainage was performed and his dyspnea was rapidly improved. With five more times negative PCR tests for SARS-CoV-2 virus, the patient was discharged and home quarantine.

CONCLUSION:

This case highlights the importance for clinicians to pay attention to the appearance of spontaneous pneumothorax, especially patients with severe pulmonary damage for a long course, as well as the need for early image diagnose CT and effective treatment once pneumothorax occurs.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Pneumothorax / Coronavirus Infections / Betacoronavirus Type of study: Case report / Prognostic study Topics: Long Covid Limits: Aged / Humans / Male Language: English Journal: BMC Infect Dis Journal subject: Communicable Diseases Year: 2020 Document Type: Article Affiliation country: S12879-020-05384-x

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Pneumothorax / Coronavirus Infections / Betacoronavirus Type of study: Case report / Prognostic study Topics: Long Covid Limits: Aged / Humans / Male Language: English Journal: BMC Infect Dis Journal subject: Communicable Diseases Year: 2020 Document Type: Article Affiliation country: S12879-020-05384-x