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Pneumothorax In Covid-19 Pneumonia: A case series.
Hameed, Mansoor; Jamal, Wasim; Yousaf, Muhammad; Thomas, Merlin; Haq, Irfan Ul; Ahmed, Shakeel; Ahmad, Mushtaq; Khatib, Mohamad.
  • Hameed M; Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
  • Jamal W; Weill Cornell Medicine-Qatar, Cornell University, Qatar.
  • Yousaf M; Hazm Mebaireek Hospital, Hamad Medical Corporation, Doha, Qatar.
  • Thomas M; Weill Cornell Medicine-Qatar, Cornell University, Qatar.
  • Haq IU; Hazm Mebaireek Hospital, Hamad Medical Corporation, Doha, Qatar.
  • Ahmed S; Weill Cornell Medicine-Qatar, Cornell University, Qatar.
  • Ahmad M; Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
  • Khatib M; Weill Cornell Medicine-Qatar, Cornell University, Qatar.
Respir Med Case Rep ; 31: 101265, 2020.
Article in English | MEDLINE | ID: covidwho-885430
Semantic information from SemMedBD (by NLM)
1. Pneumothorax COEXISTS_WITH Pneumonia
Subject
Pneumothorax
Predicate
COEXISTS_WITH
Object
Pneumonia
2. 2019 novel coronavirus CAUSES Communicable Diseases
Subject
2019 novel coronavirus
Predicate
CAUSES
Object
Communicable Diseases
3. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
4. Hypoxia PROCESS_OF Patients
Subject
Hypoxia
Predicate
PROCESS_OF
Object
Patients
5. Wakefulness PROCESS_OF Clinician
Subject
Wakefulness
Predicate
PROCESS_OF
Object
Clinician
6. Complication COEXISTS_WITH COVID-19
Subject
Complication
Predicate
COEXISTS_WITH
Object
COVID-19
7. Pneumothorax COEXISTS_WITH Pneumonia
Subject
Pneumothorax
Predicate
COEXISTS_WITH
Object
Pneumonia
8. 2019 novel coronavirus CAUSES Communicable Diseases
Subject
2019 novel coronavirus
Predicate
CAUSES
Object
Communicable Diseases
9. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
10. Hypoxia PROCESS_OF Patients
Subject
Hypoxia
Predicate
PROCESS_OF
Object
Patients
11. Wakefulness PROCESS_OF Clinician
Subject
Wakefulness
Predicate
PROCESS_OF
Object
Clinician
12. Complication COEXISTS_WITH COVID-19
Subject
Complication
Predicate
COEXISTS_WITH
Object
COVID-19
ABSTRACT

BACKGROUND:

Coronavirus disease 2019 (Covid-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It mainly affects the lungs and common symptoms are fever, cough and shortness of breath. Pneumothorax has been noted to complicate Covid-19 cases requiring hospital admission, however the exact incidence and risk factors are still unknown.

DISCUSSION:

We present a series of 3 cases of primary spontaneous pneumothorax with Covid-19 pneumonia. All cases in our series did not require positive pressure ventilation and none had any pre-existing lung disease. All were never smokers and had favourable outcomes despite having severe Covid-19 with a pneumothorax during the course of the disease. In our literature review we discuss several plausible mechanisms and risk factors resulting in a pneumothorax with Covid-19.

CONCLUSION:

Our cases are a reminder that an acute deterioration with hypoxia in a Covid-19 patient could indicate a pneumothorax. Pneumothorax is one of the reported complications in Covid-19 and clinician vigilance is required during assessment of patients, as both share the common symptom of breathlessness and therefore can mimic each other.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Reviews / Risk factors Language: English Journal: Respir Med Case Rep Year: 2020 Document Type: Article Affiliation country: J.rmcr.2020.101265

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Reviews / Risk factors Language: English Journal: Respir Med Case Rep Year: 2020 Document Type: Article Affiliation country: J.rmcr.2020.101265