Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Ziemssenstraße 5, 80336, Munich, Germany.
Department of Radiology, University Hospital, LMU Munich, Munich, Germany.
Infection. 2022 Apr;50(2):525-529. doi: 10.1007/s15010-021-01711-9. Epub 2021 Oct 8.
The Coronavirus Disease 2019 (COVID-19) may result not only in acute symptoms such as severe pneumonia, but also in persisting symptoms after months. Here we present a 1 year follow-up of a patient with a secondary tension pneumothorax due to COVID-19 pneumonia.
In May 2020, a 47-year-old male was admitted to the emergency department with fever, dry cough, and sore throat as well as acute chest pain and shortness of breath. Sputum testing (polymerase chain reaction, PCR) and computed tomography (CT) confirmed infection with the severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2). Eleven days after discharge, the patient returned to the emergency department with pronounced dyspnoea after coughing. CT showed a right-sided tension pneumothorax, which was relieved by a chest drain (Buelau) via mini open thoracotomy. For a period of 3 months following resolution of the pneumothorax the patient complained of fatigue with mild joint pain and dyspnoea. After 1 year, the patient did not suffer from any persisting symptoms. The pulmonary function and blood parameters were normal, with the exception of slightly increased levels of D-Dimer. The CT scan revealed only discrete ground glass opacities (GGO) and subpleural linear opacities.
Tension pneumothorax is a rare, severe complication of a SARS-CoV-2 infection but may resolve after treatment without negative long-term sequelae.
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2019 年冠状病毒病（COVID-19）不仅会导致严重肺炎等急性症状，还会在数月后出现持续症状。在这里，我们报告了 1 例 COVID-19 肺炎继发张力性气胸的患者 1 年随访结果。
2020 年 5 月，一名 47 岁男性因发热、干咳、咽痛以及急性胸痛和呼吸急促而被收入急诊科。痰检测（聚合酶链反应，PCR）和计算机断层扫描（CT）证实感染了严重急性呼吸系统综合征冠状病毒 2 型（SARS-CoV-2）。出院后 11 天，患者因咳嗽后出现明显呼吸困难而再次返回急诊科。CT 显示右侧张力性气胸，经微创开胸行 Buelau 式胸腔引流后缓解。气胸消退后 3 个月内，患者主诉疲劳、轻度关节痛和呼吸困难。1 年后，患者无任何持续症状。肺功能和血液参数正常，除 D-二聚体略有升高外。CT 扫描仅显示离散的磨玻璃影（GGO）和胸膜下线状影。
张力性气胸是 SARS-CoV-2 感染的罕见严重并发症，但经治疗后可能会缓解而无长期不良后果。
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