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A rare case of Pneumopericardium secondary to COVID-19

Kamal Kant Sahu1, Ajay Kumar Mishra1, Yaron Goldman2

  • 1Department of Internal Medicine, Saint Vincent Hospital, Worcester, 01608, Massachusetts, United States.

Heart & Lung : the Journal of Critical Care
|August 31, 2020
PubMed

Insights

This report details a rare case of spontaneous pneumomediastinum and pneumopericardium in a patient with Coronavirus disease 2019 (COVID-19). These uncommon respiratory complications highlight the diverse and severe impacts of SARS-CoV-2 infection.

Area of Science:

  • Medicine
  • Infectious Diseases
  • Pulmonology

Background:

  • Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, is a significant global health crisis.
  • While primarily affecting the respiratory system, COVID-19 can manifest with various pulmonary complications.
  • Common respiratory symptoms include sore throat, consolidation, ground glass opacities, and acute respiratory distress syndrome.

Observation:

  • Pneumothorax and pneumomediastinum are considered uncommon clinical findings in COVID-19 patients.
  • This case report presents an unusual instance of these complications occurring together.

Findings:

  • The study reports a rare case of spontaneous pneumomediastinum.
  • This was observed concurrently with pneumopericardium in a COVID-19 patient.
  • This synchronous occurrence is exceptionally rare in the context of SARS-CoV-2 infection.

Implications:

  • This case underscores the potential for rare and severe thoracic complications in COVID-19.
  • It highlights the importance of considering uncommon presentations in the diagnosis and management of SARS-CoV-2.
  • Further investigation into the mechanisms linking COVID-19 to these specific thoracic events may be warranted.

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