Rare complication spontaneous pneumothorax and pneumomediastinum in COVID-19 patients: A single center experience

Introduction: We aimed to describe the clinical characteristics and outcomes of patients with spontaneous pneumothorax (SPT) and pneumomediastinum (SPM) due to COVID-19 pneumonia. Methodology: This retrospective study evaluated inpatients at a COVID-19 pandemic hospital. Between March 11, 2020 an...

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Main Authors: Türkan Tüzün, Yasin Ekinci
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2023-12-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/18048
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author Türkan Tüzün
Yasin Ekinci
author_facet Türkan Tüzün
Yasin Ekinci
author_sort Türkan Tüzün
collection DOAJ
description Introduction: We aimed to describe the clinical characteristics and outcomes of patients with spontaneous pneumothorax (SPT) and pneumomediastinum (SPM) due to COVID-19 pneumonia. Methodology: This retrospective study evaluated inpatients at a COVID-19 pandemic hospital. Between March 11, 2020 and March 31, 2021, patients who developed complications of spontaneous pneumothorax (SPT) and pneumomediastinum (SPM) with a confirmed diagnosis of SARS-CoV-2 by polymerase chain reaction (PCR) method were included. Results: Of the 6,528 hospitalized patients, nine developed complications of SPT and SPM, with an incidence of 0.14%. Four of these patients developed SPT, one developed SPM, one developed SPT + SPM + emphysema, and three developed SPT + SPM. The mean age of the patients was 67.67 ± 13.41 years and the median was 68 (45-88) years. All patients were male. Six patients died, one of whom died of myocardial infarction from uncomplicated causes. Conclusions: Studies with more cases are needed to evaluate the causality between COVID-19 and pneumothorax (PT) and pneumomediastinum (PM). However, it should be kept in mind that PT and PM may lead to this clinic when sudden respiratory distress occurs in these patients and rapid diagnosis and treatment should be planned. As observed in this study, PT and PM are important factors in the development of mortality in COVID-19 patients.
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spelling doaj-art-6e30ae54f0dc4025814fa502addf8df72025-08-20T02:14:16ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802023-12-01171210.3855/jidc.18048Rare complication spontaneous pneumothorax and pneumomediastinum in COVID-19 patients: A single center experienceTürkan Tüzün0Yasin Ekinci1Pamukkale University School of Medicine, Department of Infectious Diseases, Denizli, TurkiyeDenizli State Hospital, Department of Thoracic Surgery, Denizli, Turkiye Introduction: We aimed to describe the clinical characteristics and outcomes of patients with spontaneous pneumothorax (SPT) and pneumomediastinum (SPM) due to COVID-19 pneumonia. Methodology: This retrospective study evaluated inpatients at a COVID-19 pandemic hospital. Between March 11, 2020 and March 31, 2021, patients who developed complications of spontaneous pneumothorax (SPT) and pneumomediastinum (SPM) with a confirmed diagnosis of SARS-CoV-2 by polymerase chain reaction (PCR) method were included. Results: Of the 6,528 hospitalized patients, nine developed complications of SPT and SPM, with an incidence of 0.14%. Four of these patients developed SPT, one developed SPM, one developed SPT + SPM + emphysema, and three developed SPT + SPM. The mean age of the patients was 67.67 ± 13.41 years and the median was 68 (45-88) years. All patients were male. Six patients died, one of whom died of myocardial infarction from uncomplicated causes. Conclusions: Studies with more cases are needed to evaluate the causality between COVID-19 and pneumothorax (PT) and pneumomediastinum (PM). However, it should be kept in mind that PT and PM may lead to this clinic when sudden respiratory distress occurs in these patients and rapid diagnosis and treatment should be planned. As observed in this study, PT and PM are important factors in the development of mortality in COVID-19 patients. https://jidc.org/index.php/journal/article/view/18048COVID-19spontaneous pneumothoraxpneumomediastinum
spellingShingle Türkan Tüzün
Yasin Ekinci
Rare complication spontaneous pneumothorax and pneumomediastinum in COVID-19 patients: A single center experience
Journal of Infection in Developing Countries
COVID-19
spontaneous pneumothorax
pneumomediastinum
title Rare complication spontaneous pneumothorax and pneumomediastinum in COVID-19 patients: A single center experience
title_full Rare complication spontaneous pneumothorax and pneumomediastinum in COVID-19 patients: A single center experience
title_fullStr Rare complication spontaneous pneumothorax and pneumomediastinum in COVID-19 patients: A single center experience
title_full_unstemmed Rare complication spontaneous pneumothorax and pneumomediastinum in COVID-19 patients: A single center experience
title_short Rare complication spontaneous pneumothorax and pneumomediastinum in COVID-19 patients: A single center experience
title_sort rare complication spontaneous pneumothorax and pneumomediastinum in covid 19 patients a single center experience
topic COVID-19
spontaneous pneumothorax
pneumomediastinum
url https://jidc.org/index.php/journal/article/view/18048
work_keys_str_mv AT turkantuzun rarecomplicationspontaneouspneumothoraxandpneumomediastinumincovid19patientsasinglecenterexperience
AT yasinekinci rarecomplicationspontaneouspneumothoraxandpneumomediastinumincovid19patientsasinglecenterexperience