• Interact Cardiovasc Thorac Surg · Jan 2021

    Case Reports

    Cavitary lung lesions and pneumothorax in a healthy patient with active coronavirus-19 (COVID-19) viral pneumonia.

    • Amin Afrazi, Sylvana Garcia-Rodriguez, James D Maloney, and Clinton T Morgan.
    • Division of Cardiothoracic Surgery, University of Wisconsin, Madison, WI, USA.
    • Interact Cardiovasc Thorac Surg. 2021 Jan 1; 32 (1): 150-152.

    AbstractSevere respiratory sequelae drive morbidity-associated with coronavirus 2019 (COVID-19) disease. We report a case of COVID-19 pneumonia complicated by cavitary lesions and pneumothorax in a young healthy male. Pneumothorax management with catheter thoracostomy and rapid resolution of the cavitary lesions are described. An extensive work-up for other causes a cavitation was negative and the temporal correlation of the cavities with COVID-19 infection plus their rapid resolution suggest a direct relationship. We propose a mechanism for cavitation secondary to microangiopathy, a cause of cavitation in the vasculitides and a known feature of COVID-19.© The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

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