Mohan Shalini A, Fadzaily Zharif Sufyaan, Abdullah Hashim S H
Department of Internal Medicine, Ampang Hospital, Ampang, Selangor, Malaysia.
Infectious Disease Unit, Department of Internal Medicine, Ampang Hospital, Ampang, Selangor, Malaysia.
Case Rep Med. 2022 Jul 18;2022:8275326. doi: 10.1155/2022/8275326. eCollection 2022.
The global pandemic of COVID-19 is caused by SARS-CoV-2 virus. We continue to discover the wide spectrum of complications associated with COVID-19. Some well-known complications include pneumonia, acute respiratory distress syndrome, pneumothorax, disseminated intravascular coagulation (DIC), chronic fatigue, multiorgan dysfunction, and long COVID-19 syndrome. We report a rare case of a 51-year-old man with severe COVID-19 pneumonia who developed haemorrhagic shock secondary to spontaneous haemothorax after 17 days of hospitalisation. Clinicians should be aware of such occurrence, and hence, high clinical suspicion, prompt recognition of signs and symptoms of shock, and adequate resuscitation will improve the outcomes of patients.
全球新冠疫情由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）引起。我们不断发现与新冠病毒相关的广泛并发症。一些常见并发症包括肺炎、急性呼吸窘迫综合征、气胸、弥散性血管内凝血（DIC）、慢性疲劳、多器官功能障碍以及新冠后综合征。我们报告一例罕见病例，一名51岁男性患有严重新冠肺炎，住院17天后因自发性血胸继发失血性休克。临床医生应意识到这种情况的发生，因此，高度的临床怀疑、对休克体征和症状的及时识别以及充分的复苏将改善患者的预后。
