COMPLICATIONS OF SEVERE COVID-19 (СLINICAL CASE)

DOI: https://doi.org/10.29296/25877305-2022-11-18
Issue: 
11
Year: 
2022

S. Plastinina(1, 2), Candidate of Medical Sciences; A. Tulichev(1, 2), Candidate
of Medical Sciences; E. Makarova(1, 3), MD; N. Lyubavina(1), Candidate of Medical Sciences; N. Menkov(1), Candidate of Medical Sciences; E. Konyukhova(2),
M. Chmuzh(4), A. Sidnev(4), D. Vasina(1), M. Kuzmina(1)
1-Privolzksky Reseach Medical University, Nizhny Novgorod
2-Сity Clinical Hospital Third, Nizhny Novgorod
3-Nizhny Novgorod Research Institute of Hygiene and Occupational Pathology
of Rospotrebnadzor
4-Сity Clinical Hospital Fifth, Nizhny Novgorod

The article presents a clinical case of 57-year-old patient with a severe form of lung damage by COVID-19, complicated by pneumothorax. Lung damage regressed, pneumothorax was stopped, and the patient was discharged for outpatient treatment after drug therapy and surgical intervention. Pneumothorax can be considered as one of the severe, life-threatening complications of SARS-CoV-2 infection.

Keywords: 
infectious diseases
COVID-19
complications of SARS-CoV-2 infection
pneumothorax



References: 
  1. Респираторная медицина: руководство: в 3 т. Под ред. А.Г. Чучалина, 2-е изд. перераб. и доп. М.: Литтерра, 2017. [Respiratornaya meditsina: rukovodstvo: v 3 t. Pod red. A.G. Chuchalina, 2-e izd. pererab. i dop. M.: Litterra, 2017 (in Russ.)].
  2. Sihoe A.D.L., Wong R.H.L., Lee A.T.H. еt al. Severe acute respiratory syndrome complicated by spontaneous pneumothorax. Сhest. 2004; 125 (6): 2345–51. DOI: 10.1378/chest.125.6.2345
  3. Chen N., Zhou M., Dong X. еt al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020; 395 (10223): 507–13. DOI: 10.1016/S0140-6736(20)30211-7
  4. Vega J.M.L., Gordo M.L.P., Tascón A.D. еt al. Pneumomediastinum and spontaneous pneumothorax as an extrapulmonary complication of COVID-19 disease. Emerg Radiol. 2020; 27 (6): 727–30. DOI: 10.1007/s10140-020-01806-0
  5. Martinelli A.W., Ingle T., Newman J. et al. COVID-19 and Pneumothorax: A Multicentre Retrospective Case Series. Eur Respir J. 2020; 56 (5): 2002697. DOI: 10.1183/13993003.02697-2020
  6. Kong W., Agarwal P. Chest Imaging Appearance of COVID-19 Infection. Radiol Cardiothorac Imaging. 2020; 2 (1): e200028. DOI 10.1148/ryct.2020200028
  7. Liu K., Zeng Y., Xie P. et al. COVID-19 with cystic features on computed tomography: A case report. Medicine (Baltimore). 2020; 99: e20175. DOI: 10.1097/MD.0000000000020175
  8. 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. DOI: 10.3348/kjr.2020.0180
  9. Joynt G.M., Antonio G.E., Lam P. et al. Late-Stage Adult Respiratory Distress Syndrome Caused by Severe Acute Respiratory Syndrome: Abnormal Findings at Thin-Section CT. Radiology. 2004; 230: 339–46. DOI: 10.1148/radiol.2303030894
  10. Starshinova A., Guglielmetti L., Rzhepishevska O. et al. Diagnostics and management of tuberculosis and COVID-19 in a patient with pneumothorax (clinical case). J Clin Tuberc Other Mycobact Dis. 2021; 24: 100259. DOI: 10.1016/j.jctube.2021.100259