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Published on: June 28, 2018
Spontaneous pneumomediastinum in COVID-19 patients. Case series
Francina V Bolaños-Morales1, J Alfredo Santibáñez-Salgado1, Cristóbal Guadarrama-Pérez2
1Cardiothoracic Surgery Department.
Abstract:
Spontaneous pneumomediastinum is defined as the presence of free air within the mediastinum without an apparent cause such as chest trauma. It is a benign, self-limiting condition that is conservatively treated. Clinical diagnosis is based on two symptoms: chest pain and dyspnea; and on a particular sign: subcutaneous emphysema. It has been reported in patients with influenza A (H1N1) and severe acute respiratory syndrome; however, it has been rarely observed in COVID-19 patients. In this work, we describe six male patients with COVID-19, aged between 27 and 82 years, who presented with spontaneous pneumomediastinum and subcutaneous emphysema; both conditions were completely resorbed with conservative management.
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