• Pan Afr Med J · Jan 2021

    Case Reports

    Spontaneous pneumomediastinum and subcutaneous emphysema in a non-intubated COVID-19 patient: a case report.

    • Tahir Ahmed Jatoi, Anosh Aslam Khan, Osama Mohiuddin, Muhammad Saad Choudhry, Farah Yasmin, and Sumeen Jalees.
    • Department of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan.
    • Pan Afr Med J. 2021 Jan 1; 38: 37.

    AbstractThe development of spontaneous pneumomediastinum and subcutaneous emphysema are few of the rare clinical manifestations observed in coronavirus disease-19 (COVID-19) patients which are yet to be fully understood. Most cases of spontaneous pneumomediastinum arise due to factors causing high intra-alveolar pressure. Herein, we report a case of a COVID-19 positive elderly male, who presented with spontaneous pneumomediastinum and subcutaneous emphysema unrelated to high-pressure ventilatory measures, detected on chest computed tomography (CT). Despite acute medical care, the patient progressed towards a more serious clinical course. Male gender and diffuse alveolar damage caused by COVID-19 seems to be the most relevant association in this case. However, we have enlightened other possible pathological mechanisms and their association with severity index of COVID-19.Copyright: Tahir Ahmed Jatoi et al.

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