Case Report


Pneumothorax complicating COVID-19 pneumonia: A case report and review

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1 Assistant Professor, COVID-19 Intensive Care Unit A4, Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco

2 Resident, COVID-19 Intensive Care Unit A4, Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco

3 Intern, COVID-19 Intensive Care Unit A4, Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco

4 Associate Professor, COVID-19 Intensive Care Unit A4, Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco

5 Full Professor, COVID-19 Intensive Care Unit A4, Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco

6 Head of Department, COVID-19 Intensive Care Unit A4, Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Fez, Morocco

Address correspondence to:

Soumaya Touzani

COVID-19 Intensive Care Unit A4, Anesthesiology and Intensive Care Department A4, Hassan II University Hospital, Sidi Mohammed Ben Abdellah University, Sidi Hrazem Road, Fez 30070,

Morocco

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Article ID: 101214Z01ST2021

doi: 10.5348/101214Z01ST2021CR

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How to cite this article

Touzani S, Kabbat M, Zoulgami H, Houari N, Elbouazzaoui A, Boukatta B, Kanjaa N. Pneumothorax complicating COVID-19 pneumonia: A case report and review. Int J Case Rep Images 2021;12:101214Z01ST2021.

ABSTRACT


Introduction: Coronavirus disease (COVID-19) is known as a highly infectious disease with several systemic complications and may lead to a severe acute lung injury. Pneumothorax is a potential though uncommon complication and the association of the two conditions may be a prognosis indicator.

Case Report: We report the case of a pneumothorax complicating severe COVID-19 pneumonia in a 68-year-old patient who died 33 days after admission despite supportive measures.

Conclusion: Our case highlights the increased inflammatory response as a potential underlying mechanism of pneumothorax in COVID-19 patients, which may be associated with acute decompensation and poor outcome.

Keywords: Barotraumatism, COVID-19, Non-invasive ventilation, Pneumothorax

SUPPORTING INFORMATION


Acknowledgments

We would like to express our gratitude and appreciation to the whole COVID-19 ICU team of our department.

Author Contributions

Soumaya Touzani - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Mehdi Kabbat - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Hamza Zoulgami - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Nawfal Houari - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Abderrahim Elbouazzaoui - Conception of the work, Design of the work, Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Brahim Boukatta - Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Nabil Kanjaa - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2021 Soumaya Touzani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.