Abstract
Pneumomediastinum, defined as the presence of air in the mediastinum often occurs due to trauma, mechanical ventilation or surgical procedure. It may also occur spontaneously due to predisposing lung diseases such as asthma and Chronic obstructive pulmonary airway disease (COPD). In this report, we present a case of a patient with COVID-19 pneumonia without any underlying lung conditions or usual risk factors for pneumomediastinum who developed extensive pneumomediastinum with pneumopericardium during the course of hospitalization.
Highlights
COVID-19 (Coronavirus disease 2019) is a novel disease whose pathophysiology, clinical course, management options and outcomes are still being elucidated
The disease was first reported in Wuhan China in December 2019 and was subsequently named “COVID-19” by the World Health Organization (WHO) on 11 February 2020 [1]
This report highlights Spontaneous pneumomediastinum (SPM) as a potential complication of COVID-19 pneumonia
Summary
COVID-19 (Coronavirus disease 2019) is a novel disease whose pathophysiology, clinical course, management options and outcomes are still being elucidated. Patient was admitted for severe pneumonia secondary to COVID-19 infection with superimposed bacterial pneumonia He was commenced on supplemental oxygen via nasal cannula on medical floors, hydroxychloroquine, ceftriaxone, azithromycin, therapeutic doses of subcutaneous enoxaparin, vitamin C and zinc supplement. Over the couple of days, his clinical condition kept worsening despite medical management with worsening of cough and shortness of breath being noted His oxygen requirement kept increasing to a Citation: Adebola AO, Tatyana B, Tabatha W, Sanket A (2021) Extensive Pneumomediastinum in COVID-19 Pneumonia. Aggressive pain management, cough suppressants, stool softeners along with strict bed rest activity orders were initiated His vitals were monitored closely and he continued having regular examinations and serial CT scans of chest to ensure early detection of tension pneumothorax and tension pneumomediastinum. He was discharged home in a stable condition on day 54
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