Abstract

COVID-19 pneumonia can be very complicated, particularly if the patient is unresponsive to treatment. In addition to clinical and laboratory examinations, radiological examination can facilitate the early diagnosis and treatment of aggravating problems during follow-up. Here we present the case of a patient with COVID-19 pneumonia who experienced a serious complication of hemopneumothorax. Hemopneumothorax is rapidly diagnosed and treated with close monitoring in the case of COVID-19 pneumonia. Patients who have COVID-19 pneumonia and are unresponsive to treatment should be closely followed-up for complications.

Keywords: COVID-19 pneumonia, coronavirus, hemothorax

References

  1. Jakovljevic M, Bjedov S, Jaksic N, Jakovljevic I. COVID-19 Pandemia and Public and Global Mental Health from the Perspective of Global Health Security. Psychiatr Danub 2020;32:6-14.
  2. Aydın S, Öz G, Dumanlı A, Balcı A, Gencer A. A Case of Spontaneous Pneumothorax in Covid-19 Pneumonia. J Surg Res 2020;3:96-101.
  3. Ye Z, Zhang Y, Wang Y, Huang Z, Song B. Chest CT manifestations of new coronavirus disease 2019 (COVID-19): a pictorial review. Eur Radiol 2020;30:4381–9.
  4. Wang W, Tang J, Wei F. Updated understanding of the outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan, China. J Med Virol 2020;92:441–7.
  5. Bernheim A, Mei X, Huang M, Yang Y, Fayad ZA, Zhang N, et al. Chest CT Findings in Coronavirus Disease 2019 (COVID-19): Relationship to Duration of Infection. Radiology 2020;295:685–91.
  6. Yoon SH,  Lee KH,  Kim JY, Lee YK, Ko H, Kim KH, et al. Chest Radiographic and CT Findings of the 2019 Novel Coronavirus Disease (COVID-19): Analysis of Nine Patients Treated in Korea. Korean J Radiol 2020;21:494-500.
  7. Huang P, Liu T, Huang L, Liu H, Lei M, Xu W, et al. Use of chest CT in combination with negative RT-PCR assay for the 2019 novel coronavirus but high clinical suspicion. Radiology 2020;295:22–3.
  8. Xie X, Zhong Z, Zhao W, Zheng C, Wang F, Liu J. Chest CT for typical 2019-nCoV pneumonia: relationship to negative RT-PCR testing. Radiology 2020;296:E41-5.
  9. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497–506.
  10. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020;382:1708-20.
  11. Lin X, Gong Z, Xiao Z, Xiong J, Fan B, Liu J. Novel Coronavirus Pneumonia Outbreak in 2019: Computed Tomographic Findings in Two Cases. Korean J Radiol 2020;21:365-8.
  12.  Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, et al. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med 2020;8:420-2.
  13. Salehi S, Abedi A, Balakrishnan S, Gholamrezanezhad A. Coronavirus Disease 2019 (COVID-19): A Systematic Review of Imaging Findings in 919 Patients. AJR Am J Roentgenol 2020;215:87-93.
  14.  Liu K, Zeng Y, Xie P, Ye X, Xu G, Liu J, et al. COVID-19 with cystic features on computed tomography: A case report. Medicine (Baltimore) 2020;99:e20175.
  15. Sun R, Liu H, Wang X. Mediastinal Emphysema, Giant Bulla, and Pneumothorax Developed during the Course of COVID-19 Pneumonia. Korean J Radiol 2020;21:541-4.
  16. Bikdeli B, Madhavan MV, Jimenez D, Chuich T, Dreyfus I, Driggin E, et al. COVID-19 and Thrombotic or Thromboembolic Disease: Implications for Prevention, Antithrombotic Therapy, and Follow-up: JACC State-of-the-Art Review. J Am Coll Cardiol 2020;75:2950-73.
  17. Ackermann M, Verleden SE,  Kuehnel M, Haverich A, Welte T,  Laenger F, et al. Pulmonary Vascular Endothelialitis, Thrombosis, and Angiogenesis in Covid-19. N Engl J Med 2020;383:120-8.

How to cite?

1.
Vahapoğlu A, Akpolat B, Çavuş Z, Genç Moralar D, Türkmen A. Spontaneous Hemopneumothorax During the Course of COVID-19 Pneumonia. Turk J Intensive Care. 2020;18:46-49. https://doi.org/10.4274/tybd.galenos.2020.47966