Spontaneous tension pneumothorax as a complication of Coronavirus disease 2019: Case report and literature review

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Abstract

Primary spontaneous tension pneumothorax (STP) is a rare and life‐threatening condition. We report a case of COVID‐19‐pneumonia patient who developed STP as a complication. He had a prolonged hospital stay and was ultimately discharged asymptomatic. A systematic literature search was performed to review studies ( N=12) reporting STP in the setting of COVID‐19.

Abstract

Tension pneumothorax can present such as COVID‐19 infection, leading to a delayed diagnosis, and may increase mortality. In the absence of risk factors, COVID‐19 can be an independent risk factor for STP development with significant mortality rates.

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The Psychological and Social Impact of Covid-19: New Perspectives of Well-Being

Valeria Saladino, Davide Algeri, Vincenzo Auriemma (2020)

The recent Covid-19 pandemic has had significant psychological and social effects on the population. Research has highlighted the impact on psychological well-being of the most exposed groups, including children, college students, and health workers, who are more likely to develop post-traumatic stress disorder, anxiety, depression, and other symptoms of distress. The social distance and the security measures have affected the relationship among people and their perception of empathy toward others. From this perspective, telepsychology and technological devices assume important roles to decrease the negative effects of the pandemic. These tools present benefits that could improve psychological treatment of patients online, such as the possibility to meet from home or from the workplace, saving money and time and maintaining the relationship between therapists and patients. The aim of this paper is to show empirical data from recent studies on the effect of the pandemic and reflect on possible interventions based on technological tools.

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Causes of death and comorbidities in hospitalized patients with COVID-19

Sefer Elezkurtaj, Selina Greuel, Jana Ihlow … (2021)

Infection by the new corona virus strain SARS-CoV-2 and its related syndrome COVID-19 has been associated with more than two million deaths worldwide. Patients of higher age and with preexisting chronic health conditions are at an increased risk of fatal disease outcome. However, detailed information on causes of death and the contribution of pre-existing health conditions to death yet is missing, which can be reliably established by autopsy only. We performed full body autopsies on 26 patients that had died after SARS-CoV-2 infection and COVID-19 at the Charité University Hospital Berlin, Germany, or at associated teaching hospitals. We systematically evaluated causes of death and pre-existing health conditions. Additionally, clinical records and death certificates were evaluated. We report findings on causes of death and comorbidities of 26 decedents that had clinically presented with severe COVID-19. We found that septic shock and multi organ failure was the most common immediate cause of death, often due to suppurative pulmonary infection. Respiratory failure due to diffuse alveolar damage presented as immediate cause of death in fewer cases. Several comorbidities, such as hypertension, ischemic heart disease, and obesity were present in the vast majority of patients. Our findings reveal that causes of death were directly related to COVID-19 in the majority of decedents, while they appear not to be an immediate result of preexisting health conditions and comorbidities. We therefore suggest that the majority of patients had died of COVID-19 with only contributory implications of preexisting health conditions to the mechanism of death.

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COVID-19 and Pneumothorax: A Multicentre Retrospective Case Series

Anthony W. Martinelli, Tejas Ingle, Joseph A. Newman … (2020)

Introduction Pneumothorax and pneumomediastinum have both been noted to complicate cases of COVID-19 requiring hospital admission. We report the largest case series yet described of patients with both these pathologies that includes non-ventilated patients. Methods Cases were collected retrospectively from UK hospitals with inclusion criteria limited to a diagnosis of COVID-19 and the presence of either pneumothorax or pneumomediastinum. Patients included in the study presented between March and June 2020. Details obtained from the medical record included demographics, radiology, laboratory investigations, clinical management and survival. Results Seventy-one patients from 16 centres were included in the study, of whom 60 patients had pneumothoraces (six also with pneumomediastinum), whilst 11 patients had pneumomediastinum alone. Two of these patients had two distinct episodes of pneumothorax, occurring bilaterally in sequential fashion, bringing the total number of pneumothoraces included to 62. Clinical scenarios included patients who had presented to hospital with pneumothorax, patients who had developed pneumothorax or pneumomediastinum during their inpatient admission with COVID-19 and patients who developed their complication whilst intubated and ventilated, either with or without concurrent extracorporeal membrane oxygenation. Survival at 28 days was not significantly different following pneumothorax (63.1%±6.5%) or isolated pneumomediastinum (53.0%±18.7%; p=0.854). The incidence of pneumothorax was higher in males. The 28-day survival was not different between the sexes (males 62.5%±7.7% versus females 68.4%±10.7%; p=0.619). Patients above the age of 70 had a significantly lower 28-day survival than younger individuals (≥70 years 41.7%±13.5% survival versus <70 years 70.9%±6.8% survival; p=0.018 log-rank). Conclusion These cases suggest that pneumothorax is a complication of COVID-19. Pneumothorax does not seem to be an independent marker of poor prognosis and we encourage active treatment to be continued where clinically possible.

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Contributors

Fateen Ata:

ORCID: https://orcid.org/0000-0001-7121-8574

Fata@hamad.qa , docfateenata@gmail.com

Journal

Journal ID (nlm-ta): Clin Case Rep

Journal ID (iso-abbrev): Clin Case Rep

Journal ID (doi): 10.1002/(ISSN)2050-0904

Journal ID (publisher-id): CCR3

Title: Clinical Case Reports

Publisher: John Wiley and Sons Inc. (Hoboken )

ISSN (Electronic): 2050-0904

Publication date (Electronic): 09 May 2022

Publication date Collection: May 2022

Volume: 10

Issue: 5 ( doiID: 10.1002/ccr3.v10.5 )

Electronic Location Identifier: e05852

Affiliations

[ ¹ ] Department of Internal Medicine Hamad General Hospital Hamad Medical Corporation Doha Qatar

[ ² ] Department of Plastic Surgery Hamad General Hospital Hamad Medical Corporation Doha Qatar

[ ³ ] Department of Endocrinology Hamad General Hospital Hamad Medical Corporation Doha Qatar

[ ⁴ ] Medical Intensive Care Unit Hazm Mebaireek Hospital Hamad Medical Corporation Doha Qatar

[ ⁵ ] Trauma Surgery and Thoracic Surgery Hamad General Hospital Hamad Medical Corporation Doha Qatar

Author notes

[*] [* ] Correspondence

Fateen Ata, PO Box 3050, Internal Medicine, Hamad General Hospital, Doha, Qatar.

Emails: Fata@ 123456hamad.qa ; docfateenata@ 123456gmail.com

Author information

Fateen Ata https://orcid.org/0000-0001-7121-8574

Zohaib Yousaf https://orcid.org/0000-0002-4631-9899

Article

Publisher ID: CCR35852

DOI: 10.1002/ccr3.5852

PMC ID: 9083808

PubMed ID: 35582160

SO-VID: d7e5f350-794d-4862-8b0d-753560e4133b

License:

This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

History

Date revision received : 19 April 2022

Date received : 16 February 2022

Date accepted : 25 April 2022

Page count

Figures: 3, Tables: 2, Pages: 8, Words: 3689

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source-schema-version-number 2.0

cover-date May 2022

details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.5 mode:remove_FC converted:09.05.2022

Keywords: coronavirus disease 2019,covid‐19,sars‐cov‐2,severe acute respiratory syndrome coronavirus 2,spontaneous pneumothorax,tension pneumothorax

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Keywords: coronavirus disease 2019, covid‐19, sars‐cov‐2, severe acute respiratory syndrome coronavirus 2, spontaneous pneumothorax, tension pneumothorax

Spontaneous tension pneumothorax as a complication of Coronavirus disease 2019: Case report and literature review

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Novel Coronavirus Disease COVID-19

Most cited references 26

The Psychological and Social Impact of Covid-19: New Perspectives of Well-Being

Causes of death and comorbidities in hospitalized patients with COVID-19

COVID-19 and Pneumothorax: A Multicentre Retrospective Case Series

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