SciELO - Scientific Electronic Library Online

 
vol.21 issue2Dengue with signs of alarm and leptospirosis in a pediatric patient with Covid-19Patellar ligament rupture as a complication of poor application technique of radial pressure wave therapy. Report of two cases author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista de la Facultad de Medicina Humana

Print version ISSN 1814-5469On-line version ISSN 2308-0531

Abstract

SOTELO-JIMENEZ, Pedro Paolo; NAVARRO, Enrique Moyano; RODRIGUEZ, Félix Tipacti  and  BRAVO, Carlos Milla. Spontaneous pneumomediastinum in patients with Covid-19. Case report. Rev. Fac. Med. Hum. [online]. 2021, vol.21, n.2, pp.445-448. ISSN 1814-5469.  http://dx.doi.org/10.25176/rfmh.v21i2.3651.

Introduction:

Pneumomediastinum is an infrequent and rare pathology. The typical radiological manifestations in patients with SARS-CoV-2 pneumonia consist of the presence of bilateral pulmonary opacities, of peripheral distribution. In a recent series of patients with COVID-19, it indicates that 1% of patients can develop spontaneous pneumomediastinum as a complication, it is generally benign and it is not yet clear that this may be an indicator of worsening.

Clinical Case:

This is a 43-year-old male patient who presented a 15-day illness characterized by pharyngeal pain, fever, chest pain and respiratory distress, receiving multiple antiviral and antibiotic treatment schemes without response, for which he attended to Rebagliati Hospital where he was found respiratory failure, hypoxemia and sepsis. His tomography was compatible with ground glass infiltrate, areas of bilateral lung consolidation, and pneumomediastinum. It did not require surgical treatment and it evolved favorably to pneumonia with a decrease in inflammatory markers and remission of pneumomediastinum in tomographic control.

Conclusion:

This report highlights that in COVID-19 infection the pulmonary complications to take into account are bilateral pneumonia, bacterial coinfection, sepsis and spontaneous pneumomediastinum.

Keywords : Pneumomediastinum; COVID-19; Case Report. (Source: MeSH - NLM).

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )