Abstract

ALVAREZ-DOMINGUEZ, Enrique Karim; ORNELAS-MORENO, Juan Pablo  and  VALDEZ-MOYA, Lilia Susana. Spontaneous Pneumomediastinum in a Patient With COVID-19. Case Report. Rev. Fac. Med. (Méx.) [online]. 2022, vol.65, n.1, pp.21-25.  Epub Mar 30, 2022. ISSN 2448-4865.  https://doi.org/10.22201/fm.24484865e.2022.65.1.03.

Among the different complications that have been described in patients with viral pneumonia due to SARS-CoV-2, spontaneous pneumomediastinum (SP) is of special clinical interest, as it is a rare condition reported in approximately 1% of patients with COVID-19. It is defined by the presence of air in the mediastinum in healthy patients or in the absence of any iatrogenic or traumatic origin. Its clinical presentation is usually insidious and may be accompanied by other respiratory complications. We present the case of a patient with COVID-19 who developed SP associated with emphysema in extrathoracic regions during hospitalization. There was no presence of subcutaneous emphysema or pneumothorax.

Keywords : Respiratory complications; COVID-19; extrathoracic emphysema; spontaneous pneumomediastinum; SARS-CoV-2.

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