Elsevier

IDCases

Volume 21, 2020, e00806
IDCases

Case report
Spontaneous pneumomediastinum occurring in the SARS-COV-2 infection

https://doi.org/10.1016/j.idcr.2020.e00806Get rights and content
Under a Creative Commons license
open access

Highlights

  • Spontaneous mediastinum (SPM) is a rare presentation in COVID-19.

  • SPM in COVID-19 is secondary to the increase of alveolar pressure through coughing or to alveolar rupture due to alveolar membrane damage.

  • The association of pneumomediastum and an extensive lesion on CT indicates severe destruction of the alveolar membrane.

  • SPM is a potential indicator of worsening clinical outcome.

Abstract

We report the case of a 23 year old female admitted for management of infection by the SARS-COV-2. The chest CT found a spontaneous pneumomediastinum that resorbed over 7 days with a good clinical outcome. We will discuss the mechanism underlying the occurrence of spontaneous pneumomediastinum during a COVID-19 pneumonia.

Keywords

Covid_19
Spontaneous Pneumomediastinum
CT
Pathophysiology
Prognosis

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