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Updated: Oct 20, 2025

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The Macklin Effect in COVID-19.

Noreena Iqbal1, Ayesha Malik2, Manahil Chaudhry2

  • 1Internal Medicine, Milton Keynes University Trust Hospital, Milton Keynes, GBR.

Cureus
|September 13, 2021
PubMed
Summary
This summary is machine-generated.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can affect multiple organs, not just the lungs. Spontaneous pneumomediastinum (SP) is a rare but documented complication in patients with coronavirus disease 2019 (COVID-19).

Keywords:
covid complicationscovid-19macklin effectpneumomediastinumpneumothorax

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Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • The ongoing coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has demonstrated multi-organ involvement beyond initial respiratory system focus.
  • While numerous complications associated with SARS-CoV-2 infection are documented, rare conditions continue to emerge.

Observation:

  • Spontaneous pneumomediastinum (SP), characterized by air in the mediastinum without a clear precipitating event, has been observed in some COVID-19 patients.
  • This observation suggests a potential link between SARS-CoV-2 infection and the development of SP, even in the absence of typical risk factors.

Findings:

  • The occurrence of spontaneous pneumomediastinum (SP) in COVID-19 patients represents an uncommon but significant clinical finding.
  • This complication highlights the diverse and sometimes unexpected ways SARS-CoV-2 can impact patient physiology.

Implications:

  • Understanding the association between SARS-CoV-2 and SP is crucial for clinicians managing COVID-19 patients, enabling timely diagnosis and appropriate treatment.
  • Further research into the pathophysiological mechanisms linking SARS-CoV-2 infection to SP may reveal novel insights into viral pathogenesis and patient management strategies.