Mediastinal Emphysema as a Specific Complication of COVID-19 (Case Report)
During the care of patients with novel coronavirus infection at the Lomonosov MSU Medical Research and Education Center from April 21 to June 13, 2020, we observed cases of spontaneous mediastinal emphysema (spontaneous pneumomediastinum) as a manifestation or a probable complication of COVID-19.The...
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2021-04-01
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| Series: | Общая реаниматология |
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| Online Access: | https://www.reanimatology.com/rmt/article/view/2048 |
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| author | E. P. Pavlikova M. A. Agapov P. S. Malakhov E. A. Galliamov Yu. S. Esakov D. R. Markaryan V. V. Kakotkin V. A. Kubyshkin |
| author_facet | E. P. Pavlikova M. A. Agapov P. S. Malakhov E. A. Galliamov Yu. S. Esakov D. R. Markaryan V. V. Kakotkin V. A. Kubyshkin |
| author_sort | E. P. Pavlikova |
| collection | DOAJ |
| description | During the care of patients with novel coronavirus infection at the Lomonosov MSU Medical Research and Education Center from April 21 to June 13, 2020, we observed cases of spontaneous mediastinal emphysema (spontaneous pneumomediastinum) as a manifestation or a probable complication of COVID-19.The aim of the paper. To provide clinical case descriptions and approaches to the management of patients with spontaneous pneumomediastinum in COVID-19 associated pneumonia, as they are not addressed in the current clinical guidelines, and therefore are worthy of special attention.Among 224 patients with laboratory-confirmed diagnosis of the novel coronavirus infection COVID-19, five cases of pneumomediastinum without pneumothorax were identified. Of these, in two cases the pneumomediastinum developed during noninvasive lung ventilation (NLV) (one case) and invasive lung ventilation (one case). In three cases, spontaneous mediastinal emphysema was not associated with lung ventilation. By the time of publication, one case of pneumomediastinum was completed, and four patients remained hospitalized. All five patients were males aged from 52 to 84 years.This paper presents in depth the description of two cases of mediastinal and subcutaneous emphysema in patients with COVID-19. |
| format | Article |
| id | doaj-art-49b40a00d3eb4252bf695a891234cb50 |
| institution | Kabale University |
| issn | 1813-9779 2411-7110 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj-art-49b40a00d3eb4252bf695a891234cb502025-08-20T03:59:40ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102021-04-0117241510.15360/1813-9779-2021-2-4-151783Mediastinal Emphysema as a Specific Complication of COVID-19 (Case Report)E. P. Pavlikova0M. A. Agapov1P. S. Malakhov2E. A. Galliamov3Yu. S. Esakov4D. R. Markaryan5V. V. Kakotkin6V. A. Kubyshkin7Lomonosov Moscow State University, Faculty of Fundamental MedicineLomonosov Moscow State University, Faculty of Fundamental MedicineLomonosov Moscow State University, Faculty of Fundamental MedicineLomonosov Moscow State University, Faculty of Fundamental Medicine; I.M. Sechenov First Moscow State Medical UniversityLomonosov Moscow State University, Faculty of Fundamental Medicine; City Clinical Oncology Hospital №1Lomonosov Moscow State University, Faculty of Fundamental MedicineLomonosov Moscow State University, Faculty of Fundamental MedicineLomonosov Moscow State University, Faculty of Fundamental MedicineDuring the care of patients with novel coronavirus infection at the Lomonosov MSU Medical Research and Education Center from April 21 to June 13, 2020, we observed cases of spontaneous mediastinal emphysema (spontaneous pneumomediastinum) as a manifestation or a probable complication of COVID-19.The aim of the paper. To provide clinical case descriptions and approaches to the management of patients with spontaneous pneumomediastinum in COVID-19 associated pneumonia, as they are not addressed in the current clinical guidelines, and therefore are worthy of special attention.Among 224 patients with laboratory-confirmed diagnosis of the novel coronavirus infection COVID-19, five cases of pneumomediastinum without pneumothorax were identified. Of these, in two cases the pneumomediastinum developed during noninvasive lung ventilation (NLV) (one case) and invasive lung ventilation (one case). In three cases, spontaneous mediastinal emphysema was not associated with lung ventilation. By the time of publication, one case of pneumomediastinum was completed, and four patients remained hospitalized. All five patients were males aged from 52 to 84 years.This paper presents in depth the description of two cases of mediastinal and subcutaneous emphysema in patients with COVID-19.https://www.reanimatology.com/rmt/article/view/2048novel coronavirus infectioncovid-19complicationsardssarsmediastinal emphysemaspontaneous pneumomediastinum |
| spellingShingle | E. P. Pavlikova M. A. Agapov P. S. Malakhov E. A. Galliamov Yu. S. Esakov D. R. Markaryan V. V. Kakotkin V. A. Kubyshkin Mediastinal Emphysema as a Specific Complication of COVID-19 (Case Report) Общая реаниматология novel coronavirus infection covid-19 complications ards sars mediastinal emphysema spontaneous pneumomediastinum |
| title | Mediastinal Emphysema as a Specific Complication of COVID-19 (Case Report) |
| title_full | Mediastinal Emphysema as a Specific Complication of COVID-19 (Case Report) |
| title_fullStr | Mediastinal Emphysema as a Specific Complication of COVID-19 (Case Report) |
| title_full_unstemmed | Mediastinal Emphysema as a Specific Complication of COVID-19 (Case Report) |
| title_short | Mediastinal Emphysema as a Specific Complication of COVID-19 (Case Report) |
| title_sort | mediastinal emphysema as a specific complication of covid 19 case report |
| topic | novel coronavirus infection covid-19 complications ards sars mediastinal emphysema spontaneous pneumomediastinum |
| url | https://www.reanimatology.com/rmt/article/view/2048 |
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