Respir Case Rep. 2021; 10(3): 202-207 | DOI: 10.5505/respircase.2021.68916

Ýnvazif-Non-Ýnvazif Ventilasyon Uygulanmayan COVID-19 Pnömonisinde Pnömotoraks Olmadan Spontan Pnömomediastinum: Olgu Sunumu

Salvatore Greco¹, Enrico Giorgini², Gaetano Lo Coco¹, Nicoletta Giacalone², Paola Sambo², Maria Teresa Milite², Giovanni Magalotti², Arianna Lanzi², Elena Magnani², Rosanna DAmbrosio², Elisa Paolucci¹, Luca Montaguti^2
1Translasyonel Týp Bölümü, Ferrara Üniversitesi, Ferrara, Ýtalya
²Týp Departmaný, Dahiliye Birimi, Ospedale “m.bufalini”, Cesena, Ýtalya

Spontan pnömomediastinum (SPM) korona virüs (COVID-19) hastalýðýnýn nadir kompli-kasyonlarý arasýnda bulunmaktadýr. Genel-likle invazif / non-invazif ventilasyon veya yüksek akýþlý oksijen tedavisi alan ve hastalý-ðý aðýr þekilde geçirmekte olan hastalarda görülür. Ventilasyon kullanýlmayan COVID-19 hastalarýnda çok düþük oranda SPM tes-pit edilmektedir. Ancak SPM geliþmesinin altýnda yatan nedenler hala tam olarak anlaþýlmamýþtýr. Bu makalede 65 yaþýnda, klinik olarak kardiyovasküler veya pulmoner hastalýk geçmiþi olmayan, hastaneye yatý-þýndan sonraki birkaç gün içinde SPM geli-þen bir olguyu sunmaktayýz. Toraks BT-anjiyografisinde SPM tespit edilmiþ olup yük-sek akýmlý oksijen tedavisi kullanmamýþtýr.

Anahtar Kelimeler: COVID-19, spontan pnömomediastinum, SARS-CoV-2.

---

Spontaneous Pneumomediastinum without Pneumothorax in Non-ventilated COVID-19 Pneumonia: A Case Report

Salvatore Greco¹, Enrico Giorgini², Gaetano Lo Coco¹, Nicoletta Giacalone², Paola Sambo², Maria Teresa Milite², Giovanni Magalotti², Arianna Lanzi², Elena Magnani², Rosanna DAmbrosio², Elisa Paolucci¹, Luca Montaguti^2
1Department of Translational Medicine, University of Ferrara, Ferrara, Italy
²Medical Department, Unit of Internal Medicine, Ospedale “m.bufalini”, Cesena, Italy

Spontaneous pneumomediastinum (SPM) is among the rare complications of Corona-virus Disease-19 (COVID-19) and usually in-volves patients with a severe form of disease who are undergoing treatment with invasive/noninvasive ventilation or high-flow oxygen therapy. A very low percent-age of SPM cases are detected in non-ventilated COVID-patients, the underlying causes of which are still to be understood. We report here on the case of a 65-year-old patient with no clinical history of cardiovascular or pulmonary disease who developed SPM within a few days following hospital admission. SPM was detected on chest CT-angiography, and was unrelated to high-flow oxygen treatment.

Keywords: COVID-19, Spontaneous pneumomediastinum, SARS-CoV-2.

---

Olgunun Görüntü Kesitleri

---

ATIF KOPYALA