Spontaneous Pneumothorax in a Patient with Systemic Lupus Erythematosus and Recent Infection with Coronavirus

A 50-year-old woman with a history of systemic lupus erythematosus and a recent infection with COVID-19 presented to the emergency department with acute shortness of breath twice in 10 days. She was diagnosed with myopericarditis attributed to COVID-19 infection (first admission), and chest X-ray re...

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Main Authors: Nicholas Graves, Julia Flint, Amol Sagdeo, Ayman Askari, Patrick Ball, Hana Morrissey
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2022/9594063
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author Nicholas Graves
Julia Flint
Amol Sagdeo
Ayman Askari
Patrick Ball
Hana Morrissey
author_facet Nicholas Graves
Julia Flint
Amol Sagdeo
Ayman Askari
Patrick Ball
Hana Morrissey
author_sort Nicholas Graves
collection DOAJ
description A 50-year-old woman with a history of systemic lupus erythematosus and a recent infection with COVID-19 presented to the emergency department with acute shortness of breath twice in 10 days. She was diagnosed with myopericarditis attributed to COVID-19 infection (first admission), and chest X-ray revealed a small left-sided pneumothorax, pericardial effusion (second admission), with no mediastinal shift or other signs of tension. Computed tomography confirmed these results and revealed a few small cysts in the right lung. An echocardiogram demonstrated normal heart anatomy and filling dynamics. The patient was diagnosed with simple pneumothorax and ongoing myopericarditis managed with colchicine, ibuprofen, and low-dose prednisolone. The patient responded to treatment and was discharged. Pneumothorax association with COVID-19 is reported in a small number of publications, but the association is less clear with SLE. Our patient may have been predisposed to developing pneumothorax after COVID-19 infection due to her existing connective tissue disorder.
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spelling doaj-art-e03cbb68564b413b99135e41164956722025-02-03T05:57:23ZengWileyCase Reports in Pulmonology2090-68542022-01-01202210.1155/2022/9594063Spontaneous Pneumothorax in a Patient with Systemic Lupus Erythematosus and Recent Infection with CoronavirusNicholas Graves0Julia Flint1Amol Sagdeo2Ayman Askari3Patrick Ball4Hana Morrissey5School of MedicineThe Robert Jones and Agnes Hunt Orthopaedic HospitalThe Robert Jones and Agnes Hunt Orthopaedic HospitalThe Robert Jones and Agnes Hunt Orthopaedic HospitalThe University of WolverhamptonThe University of WolverhamptonA 50-year-old woman with a history of systemic lupus erythematosus and a recent infection with COVID-19 presented to the emergency department with acute shortness of breath twice in 10 days. She was diagnosed with myopericarditis attributed to COVID-19 infection (first admission), and chest X-ray revealed a small left-sided pneumothorax, pericardial effusion (second admission), with no mediastinal shift or other signs of tension. Computed tomography confirmed these results and revealed a few small cysts in the right lung. An echocardiogram demonstrated normal heart anatomy and filling dynamics. The patient was diagnosed with simple pneumothorax and ongoing myopericarditis managed with colchicine, ibuprofen, and low-dose prednisolone. The patient responded to treatment and was discharged. Pneumothorax association with COVID-19 is reported in a small number of publications, but the association is less clear with SLE. Our patient may have been predisposed to developing pneumothorax after COVID-19 infection due to her existing connective tissue disorder.http://dx.doi.org/10.1155/2022/9594063
spellingShingle Nicholas Graves
Julia Flint
Amol Sagdeo
Ayman Askari
Patrick Ball
Hana Morrissey
Spontaneous Pneumothorax in a Patient with Systemic Lupus Erythematosus and Recent Infection with Coronavirus
Case Reports in Pulmonology
title Spontaneous Pneumothorax in a Patient with Systemic Lupus Erythematosus and Recent Infection with Coronavirus
title_full Spontaneous Pneumothorax in a Patient with Systemic Lupus Erythematosus and Recent Infection with Coronavirus
title_fullStr Spontaneous Pneumothorax in a Patient with Systemic Lupus Erythematosus and Recent Infection with Coronavirus
title_full_unstemmed Spontaneous Pneumothorax in a Patient with Systemic Lupus Erythematosus and Recent Infection with Coronavirus
title_short Spontaneous Pneumothorax in a Patient with Systemic Lupus Erythematosus and Recent Infection with Coronavirus
title_sort spontaneous pneumothorax in a patient with systemic lupus erythematosus and recent infection with coronavirus
url http://dx.doi.org/10.1155/2022/9594063
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