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- Title
Pneumomediastinum: Radiological profile and associations of uncommon complication of COVID-19.
- Authors
Sarda, Prashant; Thakker, Vishal; Waikhom, Premila; Arora, Manali; Sharma, Rohit; Baisoya, Sovinder; Rawat, Jagdish; Azad, Rajiv
- Abstract
Introduction: Spontaneous pneumomediastinum is an uncommon complication of Corona Virus Disease (COVID)-19 presenting mostly in moderate to severe cases. Materials and Methods: This is a retrospective observational imaging and hospital data-based study done on 15 confirmed patients of COVID-19 who underwent high resolution computed tomography (HRCT) thorax at the Department of Radio-Diagnosis of a tertiary medical center in the Himalayan foothills. The clinico-radiological profile of the study group was assessed and it was aimed at finding the association of pneumomediastinum with the severity of lung changes. Results: A strong association of pneumomediastinum was observed with severe lung changes on HRCT thorax (n = 13, 87%, P < 0.00001). Dyspnea was the most common presenting factor. The mortality rate is high in mechanically intubated patients of pneumomediastinum with COVID-19 (75%). Conclusion: Pneumomediastinum is a complication of a severe COVID-19 disease spectrum. Along with severe lung parenchymal disease, systemic inflammation, systemic steroid therapy, comorbid state, and mechanical intubation, it is a part of the pool of poor prognostic factors. HRCT is essential for making a quick and comprehensive diagnosis, thereby, guiding the clinician for further management.
- Subjects
COVID-19; PROGNOSIS; LUNG diseases; CORONAVIRUSES; PNEUMOMEDIASTINUM; MEDICAL personnel
- Publication
Journal of Family Medicine & Primary Care, 2022, Vol 11, Issue 2, p537
- ISSN
2249-4863
- Publication type
Article
- DOI
10.4103/jfmpc.jfmpc_1346_21