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- Title
Spontaneous Pneumomediastinum in a Patient with COVID-19 Pneumonia.
- Authors
Alavian, Naseem; Stephens, John R; DeWalt, Darren A
- Abstract
Other risk factors for spontaneous pneumomediastinum include smoking and pre-existing lung parenchymal or airway disease.[1] COVID-19 pneumonia managed without invasive or positive pressure ventilation is a newly reported risk factor for spontaneous pneumomediastinum.[2] Potential pathophysiology includes diffuse alveolar injury that results in alveolar rupture and interstitial emphysema, which may dissect along the bronchovascular sheaths into the mediastinum in patients with COVID-19 pneumonia.[3],[4] Providers caring for patients with COVID-19 pneumonia should be aware of this potential complication. CT angiography aimed at evaluating worsened hypoxia showed extensive pneumomediastinum extending into soft tissues of the lateral neck and mediastinal spaces of the heart (Fig. A 61-year-old woman was hospitalized with severe COVID-19 pneumonia.
- Subjects
COVID-19; PNEUMOTHORAX; PNEUMOMEDIASTINUM; PNEUMONIA
- Publication
JGIM: Journal of General Internal Medicine, 2021, Vol 36, Issue 9, p2845
- ISSN
0884-8734
- Publication type
Article
- DOI
10.1007/s11606-021-06813-6