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Published on: December 19, 2020
COVID-19 and Spontaneous Pneumomediastinum: A case series
Alex Diaz1, Dolly Patel1, Najia Sayedy1
1Fellow pulmonary/critical care, Nassau University Medical Center 2201 Hempstead turnpike East Meadow, NY 11554 USA.
Insights
Pneumomediastinum, a rare complication of COVID-19, occurred in three Hispanic males. Early chest X-ray detection is crucial for managing this condition and preventing increased patient morbidity.
Area of Science:
- Pulmonology
- Infectious Diseases
- Radiology
Background:
- Coronavirus disease 2019 (COVID-19) is a significant global health concern.
- Understanding diverse clinical manifestations of COVID-19 is critical for effective patient management.
- Pneumomediastinum is a recognized but uncommon adverse event in respiratory illnesses.
Observation:
- Three cases of Hispanic males with COVID-19 are presented.
- All three patients developed pneumomediastinum during their hospital stay.
- This complication occurred despite a lack of smoking history and absence of positive pressure ventilation.
Findings:
- Pneumomediastinum was identified as a clinical manifestation in these COVID-19 patients.
- The study highlights the occurrence of pneumomediastinum in a specific demographic (Hispanic males).
- Frequent chest radiographs were instrumental in the early recognition of pneumomediastinum.
Implications:
- Early detection of pneumomediastinum in COVID-19 patients is vital.
- Recognizing this adverse event can prevent potential increases in patient morbidity.
- The findings underscore the need for vigilance regarding less common complications of COVID-19.
Abstract:
COVID-19 is a relatively new and rapidly emerging disease. Given current knowledge of the disease process, it is of the utmost importance to gain further insight into its different clinical manifestations. In this report we describe three cases involving Hispanic males with COVID-19 all of whom developed pneumomediastinum during their hospital course. We want to emphasize the importance of this adverse event despite their non-smoking history and the exclusion of positive pressure ventilation. Frequent chest radiographs help with early recognition of this disease process. Early detection of pneumomediastinum is important as this could lead to worse morbidity if left unrecognized despite its usually benign nature.
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