Pneumothorax in COVID-19 disease- incidence and clinical characteristics
Open Access
- 16 September 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in Respiratory Research
- Vol. 21 (1), 1-9
- https://doi.org/10.1186/s12931-020-01504-y
Abstract
Spontaneous pneumothorax is an uncommon complication of COVID-19 viral pneumonia. The exact incidence and risk factors are still unknown. Herein we review the incidence and outcomes of pneumothorax in over 3000 patients admitted to our institution for suspected COVID-19 pneumonia. We performed a retrospective review of COVID-19 cases admitted to our hospital. Patients who were diagnosed with a spontaneous pneumothorax were identified to calculate the incidence of this event. Their clinical characteristics were thoroughly documented. Data regarding their clinical outcomes were gathered. Each case was presented as a brief synopsis. Three thousand three hundred sixty-eight patients were admitted to our institution between March 1st, 2020 and June 8th, 2020 for suspected COVID 19 pneumonia, 902 patients were nasopharyngeal swab positive. Six cases of COVID-19 patients who developed spontaneous pneumothorax were identified (0.66%). Their baseline imaging showed diffuse bilateral ground-glass opacities and consolidations, mostly in the posterior and peripheral lung regions. 4/6 cases were associated with mechanical ventilation. All patients required placement of a chest tube. In all cases, mortality (66.6%) was not directly related to the pneumothorax. Spontaneous pneumothorax is a rare complication of COVID-19 viral pneumonia and may occur in the absence of mechanical ventilation. Clinicians should be vigilant about the diagnosis and treatment of this complication.Keywords
This publication has 30 references indexed in Scilit:
- Is ventilation tube insertion necessary in children with otitis media with effusion?Polski Przegląd Otorynolaryngologiczny, 2015
- Acute Middle East Respiratory Syndrome Coronavirus: Temporal Lung Changes Observed on the Chest Radiographs of 55 PatientsAmerican Journal of Roentgenology, 2015
- Spontaneous pneumothorax: epidemiology, pathophysiology and causeEuropean Respiratory Review, 2010
- Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010Thorax, 2010
- Bilateral Tension Pneumothoraces following Percutaneous TracheostomyJournal of the Intensive Care Society, 2009
- Pneumothorax in Patients With Acute Respiratory Distress Syndrome: Pathophysiology, Detection, and TreatmentJournal of Intensive Care Medicine, 2003
- Spontaneous PneumothoraxThe New England Journal of Medicine, 2000
- Pulmonary Barotrauma in Mechanical VentilationSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 1992
- Pneumothorax with Pneumocystis carinii Pneumonia in AIDSSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 1991
- TRANSPORT OF AIR ALONG SHEATHS OF PULMONIC BLOOD VESSELS FROM ALVEOLI TO MEDIASTINUMArchives of Internal Medicine, 1939