- Journal of Emergency Medicine Case Reports
- Vol: 13 Issue: 1
- Spontaneous pneumomediastinum in COVID-19 pneumonia: Two Cases and Review of the Literature
Spontaneous pneumomediastinum in COVID-19 pneumonia: Two Cases and Review of the Literature
Authors : Hasan Kara, Aysegül Bayir, Selim Değirmenci, Hüseyin Yildiran, Ahmet Ak
Pages : 34-36
Doi:10.33706/jemcr.1015741
View : 15 | Download : 4
Publication Date : 2022-03-08
Article Type : Other
Abstract :Introduction: Spontaneous pneumomediastinum (PM) is a rare presentation associated with Coronavirus disease 2019 (COVID-19). Here, we report two cases presented with spontaneous PM associated with COVID-19 pneumonia. Case Reports: Case 1: A 58-year-old female patient was admitted to the Emergency Department (ED) with dyspnea, hoarseness, myalgia, and cough. A chest CT scan revealed subcutaneous emphysema, diffuse PM, bilateral diffuse areas of ground-glass opacity, and consolidations. The patient was transferred to the critical care unit. In critical intensive care, the patient developed multi-organ failure and expired on the 10th day. Case 2: A 34-year-old male patient admitted to the ED with dyspnea and cough. A chest CT scan revealed diffuse PM, bilateral diffuse areas of ground-glass opacity, and consolidations. The patient was transferred to the critical care unit. His progress was uneventful and he was discharged after 12 days. Conclusion: Patients suspected of PM should be examined closely during the differential diagnosis of chest pain, dyspnea, subcutaneous emphysema, and various lung- and heart-induced states. Patients diagnosed with spontaneous PM should be hospitalized for observation because the condition can be associated with complications, including death.Keywords : COVID-19, Dyspnea, Pneumomediastinum, Complication