Sanivarapu Raghavendra R, Farraj Kristen, Sayedy Najia, Anjum Fatima
Department of Pulmonary & Critical Care Medicine, Nassau University Medical Center, East Meadow, NY, United States.
Department of Internal Medicine, Nassau University Medical Center, East Meadow, NY, United States.
Respir Med Case Rep. 2020;31:101303. doi: 10.1016/j.rmcr.2020.101303. Epub 2020 Dec 2.
Coronavirus disease 2019 (COVID-19) has spread to more than 70 countries around the world since its discovery in 2019. More than 2.5 million cases and more than 130,000 deaths have been reported in the United States alone. The common radiological presentation in this disease is noted to be the presence of ground glass opacities and/or consolidations. We report a case of 40-year-old male admitted for COVID-19 and rapidly deteriorated into severe acute respiratory distress syndrome requiring intubation and mechanical ventilation with no prior history of smoking or lung disease. The patient had normal imaging 3 days prior to admission to the hospital and rapidly developed a large pneumatocele with pneumothorax requiring chest tube placement that later on resolved. This is a unique radiologic finding in COVID-19 and likely related to severe inflammation secondary to SARS-CoV-2 infection.
自2019年发现以来，2019冠状病毒病（COVID-19）已传播至全球70多个国家。仅在美国就报告了超过250万例病例和超过13万例死亡。该疾病常见的影像学表现为磨玻璃影和/或实变。我们报告一例40岁男性因COVID-19入院，迅速恶化为严重急性呼吸窘迫综合征，需要插管和机械通气，既往无吸烟或肺部疾病史。患者入院前3天影像学检查正常，迅速出现一个大的肺气囊并伴有气胸，需要放置胸管，随后气胸消散。这是COVID-19中一种独特的影像学表现，可能与严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染继发的严重炎症有关。
