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2021 ; 39
(ä): 258.e1-258.e3
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Bilateral spontaneous pneumothorax in SARS-CoV-2 infection: A very rare,
life-threatening complication
#MMPMID32712235
González-Pacheco H
; Gopar-Nieto R
; Jiménez-Rodríguez GM
; Manzur-Sandoval D
; Sandoval J
; Arias-Mendoza A
Am J Emerg Med
2021[Jan]; 39
(ä): 258.e1-258.e3
PMID32712235
show ga
In the coronavirus disease 2019 (COVID-19) era, the presence of acute respiratory
failure is generally associated with acute respiratory distress syndrome;
however, it is essential to consider other differential diagnoses that require
different, and urgent, therapeutic approaches. Herein we describe a COVID-19 case
complicated with bilateral spontaneous pneumothorax. A previously healthy
45-year-old man was admitted to our emergency department with sudden-onset chest
pain and progressive shortness of breath 17?days after diagnosis with
uncomplicated COVID-19 infection. He was tachypneic and presented severe
hypoxemia (75% percutaneous oxygen saturation). Breath sounds were diminished
bilaterally on auscultation. A chest X-ray revealed the presence of a large
bilateral pneumothorax. A thoracic computed tomography (CT) scan confirmed the
large bilateral pneumothorax, with findings consistent with severe COVID-19
infection. Chest tubes were inserted, with immediate clinical improvement.
Follow-up chest CT scan revealed resolution of bilateral pneumothorax, reduction
of parenchymal consolidation, and formation of large bilateral pneumatoceles. The
patient remained under observation and was then discharged home. Bilateral
spontaneous pneumothorax is a very rare, potentially life-threatening
complication in patients with COVID-19. This case highlights the importance of
recognizing this complication early to prevent potentially fatal consequences.