Lewars Jennaire
Internal Medicine, Carle Foundation Hospital, Urbana, USA.
Graduate Medical Education, Saint James School of Medicine, Chicago, USA.
Cureus. 2023 Jul 1;15(7):e41259. doi: 10.7759/cureus.41259. eCollection 2023 Jul.
In this case report, we review a case of pneumatocele in a 54-year-old Caucasian male patient diagnosed with infection of COVID-19 29 days prior, presenting with complaints of dyspnea and sharp pleuritic chest pain located in the left mid-axillary region exacerbated by deep inspiration with an episode of significant forceful cough a day prior. Preliminary labs were unrevealing for leukocytosis or neutrophilia, with normal troponins, and COVID-19 negative upon presentation. Radiographic imaging was significant for bilateral infiltrates in the left upper lobe, air fluid levels with initial concern for abscess but with subsequent inference of pneumatocele. Imaging was negative for pneumothorax. The patient was monitored, remained stable throughout admission, and discharged after work-up for fungal and bacterial infection were found to be negative with expectation of self-resolution of the pneumatocele. In this study, we overview the pulmonary impact of COVID-19 in the scope of pneumatocele occurrence in the early recovery phase of the viral illness.
在本病例报告中，我们回顾了一例54岁的白种男性患者，该患者在29天前被诊断为感染新型冠状病毒肺炎，出现呼吸困难以及位于左腋中线区域的尖锐胸膜炎性胸痛，深吸气时加重，且在前一天有一次剧烈的强力咳嗽发作。初步实验室检查未发现白细胞增多或中性粒细胞增多，肌钙蛋白正常，就诊时新型冠状病毒肺炎检测呈阴性。影像学检查显示左肺上叶双侧浸润，有气液平面，最初怀疑为脓肿，但随后推断为肺气囊。影像学检查未发现气胸。对患者进行了监测，在整个住院期间病情保持稳定，在真菌和细菌感染检查结果均为阴性且预计肺气囊可自行消退后出院。在本研究中，我们概述了新型冠状病毒肺炎在病毒性疾病早期恢复阶段肺气囊发生范围内对肺部的影响。
