Spontaneous pneumomediastinum secondary to COVID-19 in Iran: A case series study

SPM secondary to COVID-19

Authors

DOI:

https://doi.org/10.22122/cdj.v11i1.659

Keywords:

Mediastinal Emphysema, COVID-19., Iran.

Abstract

BACKGROUND: Pneumomediastinum is defined as open-air in the mediastinum. Spontaneous pneumomediastinum (SPM) occurs when air leaks into the surrounding vascular sheath through small alveolar ruptures.

CASE REPORT: We want to introduce 4 different cases with different outcomes. The first case was a 60-year-old man with a history of psychological disorders, the second case was a 41-year-old man with a history of hypertension (HTN) and asthma, the third case was a 50-year-old heavy smoker with no history of an underlying disease, and the fourth case was a 60-year-old man with a history of schizophrenia. They suddenly developed an exacerbation of cough, dyspnea, chest pain, and a severe decrease in oxygen saturation during hospitalization. Antibiotic therapy, corticosteroids, and high-dose oxygen therapy were administered to the patients. One of these patients died.

CONCLUSION: All patients can potentially be at risk for this complication and have a good prognosis if diagnosed early and treated properly overall.

References

Hui DS, Azhar I, Madani TA, Ntoumi F, Kock R, Dar O, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health - The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis. 2020; 91: 264-6.

Goyal P, Choi JJ, Pinheiro LC, Schenck EJ, Chen R, Jabri A, et al. Clinical characteristics of COVID-19 in New York City. N Engl J Med. 2020; 382(24): 2372-4.

Aiyegbusi OL, Hughes SE, Turner G, Rivera SC, McMullan C, Chandan JS, et al. Symptoms, complications and management of long COVID: A review. J R Soc Med. 2021; 114(9): 428-42.

Caceres M, Ali SZ, Braud R, Weiman D, Garrett HE, Jr. Spontaneous pneumomediastinum: a comparative study and review of the literature. Ann Thorac Surg. 2008; 86(3): 962-6.

Macklin CC. Transport of air along sheaths of pulmonic blood vessels from alveoli to mediastinum: Clinical implications. Arch Intern Med (Chic). 1939; 64(5): 913-26.

Banki F, Estrera AL, Harrison RG, Miller CC 3rd, Leake SS, Mitchell KG, et al. Pneumomediastinum: Etiology and a guide to diagnosis and treatment. Am J Surg. 2013; 206(6): 1001-6.

Kaneki T, Kubo K, Kawashima A, Koizumi T, Sekiguchi M, Sone S. Spontaneous pneumomediastinum in 33 patients: Yield of chest computed tomography for the diagnosis of the mild type. Respiration. 2000; 67(4): 408-11.

Kwas H, Zendah I, Ghedira H. Spontaneous pneumothorax secondary to tuberculosis. Tunis Med. 2017; 95(4): 276-9.

Park YK, Jung HC, Kim SY, Kim MY, Jo K, Kim SY, et al. Spontaneous pneumomediastinum, pneumopericardium, and pneumothorax with respiratory failure in a patient with AIDS and Pneumocystis jirovecii Pneumonia. Infect Chemother. 2014; 46(3): 204-8.

Gidaro A, Samartin F, Brambilla AM, Cogliati C, Ingrassia S, Banfi F, et al. Correlation between continuous Positive end-expiratory pressure (PEEP) values and occurrence of Pneumothorax and Pneumomediastinum in SARS-CoV2 patients during non-invasive ventilation with Helmet. Sarcoidosis Vasc Diffuse Lung Dis. 2021; 38(2): e2021017.

Lee J, Kang BS, Kim C, Choi HJ. Tension pneumopericardium after pericardiocentesis. J Korean Med Sci. 2016; 31(3): 470-2.

Wintermark M, Schnyder P. The Macklin effect: A frequent etiology for pneumomediastinum in severe blunt chest trauma. Chest. 2001; 120(2): 543-7.

Murayama S, Gibo S. Spontaneous pneumomediastinum and Macklin effect: Overview and appearance on computed tomography. World J Radiol. 2014; 6(11): 850-4.

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Published

2023-04-10

How to Cite

1.
Afrasiabian S, Yazdanpanah H, Sigari N, Mohamaddi S, Servatyari K. Spontaneous pneumomediastinum secondary to COVID-19 in Iran: A case series study: SPM secondary to COVID-19. Chron Dis J. 2023;11(1):63–67.

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Case Report(s)

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