Gillissen Adrian, Zimmermann Thomas, Clasen Stephan
Medizinische Klinik 3 (Pulmonary Medicine), Kreiskliniken Reutlingen GmbH, Reutlingen, Germany.
Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Kreiskliniken Reutlingen GmbH, Reutlingen, Germany.
Pneumologie. 2022 Sep;76(9):629-632. doi: 10.1055/a-1771-5345. Epub 2022 May 3.
In this paper, we present a case of SARS-CoV2-Virus a non-vaccinated 54-year-old male admitted with COVID-19 pneumonia and respiratory insufficiency requiring high-flow oxygen supplementation. CT-scan of the lung revealed multifocal bilateral ground-glass opacities and - as a rare complication - a large pneumatocele in the middle of the posterior part of the left lower lobe. In order to treat the pneumatocele, a 10 F was placed into the cavity. The resulting pneumothorax was successfully treated with a 20 F chest tube over a 9-day period. The pneumatocele shrank only slightly. This case demonstrates a unique radiologic finding in COVID-19, which is likely the result of severe inflammation secondary to SARS-CoV-2 including an unfruitful attempt at depressurisation.
在本文中，我们报告了一例未接种疫苗的54岁男性感染严重急性呼吸综合征冠状病毒2（SARS-CoV2）的病例，该患者因新冠肺炎肺炎和呼吸功能不全入院，需要高流量吸氧。肺部CT扫描显示双侧多发磨玻璃影，并且——作为一种罕见的并发症——左下叶后部中间有一个大的肺气囊。为了治疗肺气囊，在腔内放置了一根10F的导管。由此导致的气胸在9天内通过一根20F的胸管成功治疗。肺气囊仅略有缩小。该病例展示了新冠肺炎中一种独特的影像学表现，这可能是SARS-CoV-2继发严重炎症的结果，包括减压尝试未成功。
