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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

238
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
238
Pneumothorax-I01:26

Pneumothorax-I

277
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
277
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

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In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.7K
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

294
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
294
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

391
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
391
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

320
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
320

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Updated: Aug 6, 2025

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
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Recurrent Hydropneumothorax After COVID-19.

Vashistha M Patel1, Shreya V Patel1, Kyle Singletary1

  • 1Internal Medicine, Brookwood Baptist Health, Birmingham, USA.

Cureus
|March 20, 2023
PubMed
Summary
This summary is machine-generated.

A patient with COVID-19 developed persistent respiratory issues, including hydropneumothorax, later diagnosed as aspergillosis. Prompt antifungal treatment with voriconazole led to stable lung findings, highlighting the importance of diagnosing fungal infections in complex respiratory cases.

Keywords:
covid-19exploratory thoracotomypleuropulmonary aspergillosisrecurrent hydropneumothoraxvoriconazole

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Area of Science:

  • Pulmonology
  • Infectious Diseases
  • Thoracic Surgery

Background:

  • A 60-year-old male with multiple comorbidities presented with shortness of breath due to COVID-19-induced acute hypoxic respiratory failure.
  • Initial treatment included hydroxychloroquine, azithromycin, and prednisone.

Observation:

  • The patient experienced recurrent respiratory distress with pneumothorax and pleural effusion five months post-initial illness.
  • Despite interventions like CT-guided drainage and chest tube placement, hydropneumothorax persisted.
  • Surgical exploration revealed fungal hyphae consistent with aspergillosis, initially dismissed as contamination.

Findings:

  • Pathology confirmed non-caseating granulomas, indicative of aspergillosis, in pleural tissue after further procedures.
  • The patient was treated with voriconazole, an antifungal medication.
  • Post-treatment chest X-ray showed stable chronic lung disease without new hydropneumothorax.

Implications:

  • This case underscores the potential for aspergillosis to manifest as chronic or recurrent pleural disease after severe respiratory infections.
  • Timely diagnosis and treatment of fungal infections are crucial for managing complex thoracic complications.
  • Accurate pathological interpretation and appropriate antifungal therapy can lead to favorable outcomes in challenging cases.