活动性新型冠状病毒（COVID-19）病毒性肺炎的健康患者出现空洞性肺病变和气胸。
Cavitary lung lesions and pneumothorax in a healthy patient with active coronavirus-19 (COVID-19) viral pneumonia.
机构信息
Division of Cardiothoracic Surgery, University of Wisconsin, Madison, WI, USA.
Radius Medical Image Analysis Laboratory, Department of Radiology, University of Wisconsin, Madison, WI, USA.
出版信息
Interact Cardiovasc Thorac Surg. 2021 Jan 1;32(1):150-152. doi: 10.1093/icvts/ivaa238.
Severe respiratory sequelae drive morbidity-associated with coronavirus 2019 (COVID-19) disease. We report a case of COVID-19 pneumonia complicated by cavitary lesions and pneumothorax in a young healthy male. Pneumothorax management with catheter thoracostomy and rapid resolution of the cavitary lesions are described. An extensive work-up for other causes a cavitation was negative and the temporal correlation of the cavities with COVID-19 infection plus their rapid resolution suggest a direct relationship. We propose a mechanism for cavitation secondary to microangiopathy, a cause of cavitation in the vasculitides and a known feature of COVID-19.
严重的呼吸道后遗症导致与 2019 年冠状病毒病（COVID-19）相关的发病和发病。我们报告了一例 COVID-19 肺炎合并空洞病变和气胸的年轻健康男性病例。文中描述了经导管胸腔引流治疗气胸和空洞病变快速消退的情况。广泛的其他空洞原因检查均为阴性，且空洞与 COVID-19 感染的时间相关性及其快速消退表明二者之间存在直接关系。我们提出了一种继发于微血管病的空洞形成机制，这是血管炎导致空洞形成的原因，也是 COVID-19 的一个已知特征。
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