Department of Pneumology, Hospital Universitario Mayor Méderi - Universidad del Rosario. Bogotá, D.C., Colombia.
Department of Internal Medicine, Hospital Universitario Mayor Méderi - Universidad del Rosario. Bogotá, D.C., Colombia.
J Infect Dev Ctries. 2021 Oct 31;15(10):1404-1407. doi: 10.3855/jidc.15054.
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) affects mainly the lungs causing pneumonia and complications like acute respiratory distress syndrome. Pneumothorax is a rare manifestation of the disease. This report is a description of a series of patients with COVID-19 and spontaneous pneumothorax, some of them with associated pulmonary cysts.
Cases were collected retrospectively. We included clinical data from medical records and described radiologic findings. Patients that developed pneumothorax during mechanical ventilation were excluded.
Ten cases were included in this report, nine of them were male. The median age of our series was 62 years (IQR = 57-68). The median days since the onset of symptoms until the development of pneumothorax was 27 (IQR = 17-31), most cases developed after the second week of the diagnosis of pneumonia. Two cases required invasive mechanical ventilation, but pneumothorax occurred after ventilator weaning. Three cases showed subpleural pulmonary cysts.
Cysts and pneumothorax are rare manifestations of SARS-CoV-2 pneumonia with mechanisms not completely understood. This report highlights the role of CT scan in diagnosis of COVID-19 complications.
严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）主要影响肺部，导致肺炎和急性呼吸窘迫综合征等并发症。气胸是该病的罕见表现。本报告描述了一系列 COVID-19 患者并发自发性气胸的病例，其中一些患者伴有肺囊肿。
病例为回顾性收集。我们从病历中收集临床数据并描述了影像学发现。排除了在机械通气过程中发生气胸的患者。
本报告共纳入 10 例病例，其中 9 例为男性。本系列的中位年龄为 62 岁（IQR=57-68）。从症状发作到气胸发生的中位时间为 27 天（IQR=17-31），大多数病例发生在肺炎诊断后的第二周。有 2 例需要有创机械通气，但在呼吸机脱机后发生气胸。3 例病例显示胸膜下肺囊肿。
囊肿和气胸是 SARS-CoV-2 肺炎的罕见表现，其机制尚不完全清楚。本报告强调了 CT 扫描在诊断 COVID-19 并发症中的作用。
