Perice Leland, Roit Zhanna, Llovera Ingrid, Flanagan-Kundle Mary G
North Shore University Hospital - Northwell Health, Department of Emergency Medicine, Manhasset, New York.
Touro College School of Health Sciences, Physician Assistant Program, Bay Shore, New York.
Clin Pract Cases Emerg Med. 2020 Nov;4(4):521-523. doi: 10.5811/cpcem.2020.8.49139.
Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2. It typically presents with respiratory symptoms such as fevers, cough, and shortness of breath. As the number of cases increases, however, COVID-19 is being increasingly recognized as being associated with a variety of other respiratory pathologies.
We present the case of a 59-year-old man with COVID-19 pneumonia who acutely decompensated after having been on the medicine floor for two weeks. He was found to have a tension pneumothorax. This was treated with a needle decompression followed by a chest tube insertion. The patient subsequently recovered and was discharged.
This case highlights the importance of considering tension pneumothorax as a possible cause of shortness of breath in patients with COVID-19 pneumonia.
2019年冠状病毒病（COVID-19）由严重急性呼吸综合征冠状病毒2引起。它通常表现为发热、咳嗽和呼吸急促等呼吸道症状。然而，随着病例数量的增加，COVID-19越来越被认为与多种其他呼吸道病变有关。
我们报告一例59岁男性COVID-19肺炎患者，其在病房治疗两周后病情急性恶化。发现他患有张力性气胸。先进行了针吸减压，随后插入胸管进行治疗。患者随后康复并出院。
本病例强调了将张力性气胸视为COVID-19肺炎患者呼吸急促可能原因的重要性。
