Department of Internal Medicine, Saint Vincent Hospital, Worcester, 01608, Massachusetts, United States.
Department of Internal Medicine, Saint Vincent Hospital, Worcester, 01608, Massachusetts, United States.
Heart Lung. 2020 Nov-Dec;49(6):679-680. doi: 10.1016/j.hrtlng.2020.08.017. Epub 2020 Aug 21.
Coronavirus disease 2019 (COVID-19) has posed an unparalleled challenge to the medical communities and patients worldwide. This is the third coronavirus pandemic of the decade and worst so far in terms of the number of patients affected and related deaths. Although COVID-19 is a systemic illness, the respiratory system is obvious to be involved first, and takes most of the brunt of SARS-CoV-2 infection. Common upper and lower respiratory presentations could be sore throat, consolidation, ground glass opacities, and acute respiratory distress syndrome in severe cases. Pneumothorax, pneumomediastinum are uncommon clinical findings in association with COVID-19. We hereby report a rare case of spontaneous pneumomediastinum with a synchronous pneumopericardium.
2019 年冠状病毒病(COVID-19)给全球医学界和患者带来了前所未有的挑战。这是本世纪第三次冠状病毒大流行,就受影响的患者人数和相关死亡人数而言,是迄今为止最严重的一次。虽然 COVID-19 是一种全身性疾病,但呼吸系统首先明显受累,并承受了 SARS-CoV-2 感染的大部分冲击。常见的上、下呼吸道表现为咽痛、实变、磨玻璃影,严重者出现急性呼吸窘迫综合征。气胸、纵隔气肿是 COVID-19 少见的临床表现。我们在此报告一例罕见的自发性纵隔气肿伴同时性的心包积气病例。