Pneumothorax in Mechanically Ventilated Patients with COVID-19 Infection
Data on patient-related factors associated with pneumothorax among critically ill patients with COVID-19 pneumonia is limited. Reports of spontaneous pneumothorax in patients with coronavirus disease 2019 (COVID-19) suggest that the COVID-19 infection could itself cause pneumothorax in addition to t...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2021/6657533 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832550113007894528 |
|---|---|
| author | Raziye Ecem Akdogan Turab Mohammed Asma Syeda Nasheena Jiwa Omar Ibrahim Rahul Mutneja |
| author_facet | Raziye Ecem Akdogan Turab Mohammed Asma Syeda Nasheena Jiwa Omar Ibrahim Rahul Mutneja |
| author_sort | Raziye Ecem Akdogan |
| collection | DOAJ |
| description | Data on patient-related factors associated with pneumothorax among critically ill patients with COVID-19 pneumonia is limited. Reports of spontaneous pneumothorax in patients with coronavirus disease 2019 (COVID-19) suggest that the COVID-19 infection could itself cause pneumothorax in addition to the ventilator-induced trauma among mechanically ventilated patients. Here, we report a case series of five mechanically ventilated patients with COVID-19 infection who developed pneumothorax. Consecutive cases of intubated patients in the intensive care unit with the diagnosis of COVID-19 pneumonia and pneumothorax were included. Data on their demographics, preexisting risk factors, laboratory workup, imaging findings, treatment, and survival were collected retrospectively between March and July 2020. Four out of five patients (4/5; 80%) had a bilateral pneumothorax, while one had a unilateral pneumothorax. Of the four patients with bilateral pneumothorax, three (3/4; 75%) had secondary bacterial pneumonia, two had pneumomediastinum and massive subcutaneous emphysema, and one of these two had an additional pneumoperitoneum. A surgical chest tube or pigtail catheter was placed for the management of pneumothorax. Three out of five patients with pneumothorax died (3/5; 60%), and all of them had bilateral involvement. The data from these cases suggest that pneumothorax is a potentially fatal complication of COVID-19 infection. Large prospective studies are needed to study the incidence of pneumothorax and its sequelae in patients with COVID-19 infection. |
| format | Article |
| id | doaj-art-052c5b641c7e4ec2b88f2c79b2ed8682 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-052c5b641c7e4ec2b88f2c79b2ed86822025-02-03T06:07:39ZengWileyCase Reports in Critical Care2090-64202090-64392021-01-01202110.1155/2021/66575336657533Pneumothorax in Mechanically Ventilated Patients with COVID-19 InfectionRaziye Ecem Akdogan0Turab Mohammed1Asma Syeda2Nasheena Jiwa3Omar Ibrahim4Rahul Mutneja5Department of Internal Medicine, University of Connecticut, Farmington, Connecticut, USADepartment of Internal Medicine, University of Connecticut, Farmington, Connecticut, USADepartment of Internal Medicine, University of Connecticut, Farmington, Connecticut, USADepartment of Pulmonary and Critical Care Medicine, University of Connecticut, Farmington, Connecticut, USADepartment of Pulmonary and Critical Care Medicine, University of Connecticut, Farmington, Connecticut, USADepartment of Pulmonary and Critical Care Medicine, Saint Francis Hospital and Medical Center, Hartford, Connecticut, USAData on patient-related factors associated with pneumothorax among critically ill patients with COVID-19 pneumonia is limited. Reports of spontaneous pneumothorax in patients with coronavirus disease 2019 (COVID-19) suggest that the COVID-19 infection could itself cause pneumothorax in addition to the ventilator-induced trauma among mechanically ventilated patients. Here, we report a case series of five mechanically ventilated patients with COVID-19 infection who developed pneumothorax. Consecutive cases of intubated patients in the intensive care unit with the diagnosis of COVID-19 pneumonia and pneumothorax were included. Data on their demographics, preexisting risk factors, laboratory workup, imaging findings, treatment, and survival were collected retrospectively between March and July 2020. Four out of five patients (4/5; 80%) had a bilateral pneumothorax, while one had a unilateral pneumothorax. Of the four patients with bilateral pneumothorax, three (3/4; 75%) had secondary bacterial pneumonia, two had pneumomediastinum and massive subcutaneous emphysema, and one of these two had an additional pneumoperitoneum. A surgical chest tube or pigtail catheter was placed for the management of pneumothorax. Three out of five patients with pneumothorax died (3/5; 60%), and all of them had bilateral involvement. The data from these cases suggest that pneumothorax is a potentially fatal complication of COVID-19 infection. Large prospective studies are needed to study the incidence of pneumothorax and its sequelae in patients with COVID-19 infection.http://dx.doi.org/10.1155/2021/6657533 |
| spellingShingle | Raziye Ecem Akdogan Turab Mohammed Asma Syeda Nasheena Jiwa Omar Ibrahim Rahul Mutneja Pneumothorax in Mechanically Ventilated Patients with COVID-19 Infection Case Reports in Critical Care |
| title | Pneumothorax in Mechanically Ventilated Patients with COVID-19 Infection |
| title_full | Pneumothorax in Mechanically Ventilated Patients with COVID-19 Infection |
| title_fullStr | Pneumothorax in Mechanically Ventilated Patients with COVID-19 Infection |
| title_full_unstemmed | Pneumothorax in Mechanically Ventilated Patients with COVID-19 Infection |
| title_short | Pneumothorax in Mechanically Ventilated Patients with COVID-19 Infection |
| title_sort | pneumothorax in mechanically ventilated patients with covid 19 infection |
| url | http://dx.doi.org/10.1155/2021/6657533 |
| work_keys_str_mv | AT raziyeecemakdogan pneumothoraxinmechanicallyventilatedpatientswithcovid19infection AT turabmohammed pneumothoraxinmechanicallyventilatedpatientswithcovid19infection AT asmasyeda pneumothoraxinmechanicallyventilatedpatientswithcovid19infection AT nasheenajiwa pneumothoraxinmechanicallyventilatedpatientswithcovid19infection AT omaribrahim pneumothoraxinmechanicallyventilatedpatientswithcovid19infection AT rahulmutneja pneumothoraxinmechanicallyventilatedpatientswithcovid19infection |