Cavitary lung lesions and pneumothorax in a healthy patient with active coronavirus-19 (COVID-19) viral pneumonia

Abstract Severe respiratory sequelae drive morbidity-associated with coronavirus 2019 (COVID-19) disease. We report a case of COVID-19 pneumonia complicated by cavitary lesions and pneumothorax in a young healthy male. Pneumothorax management with catheter thoracostomy and rapid resolution of the ca...

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Published inInteractive cardiovascular and thoracic surgery Vol. 32; no. 1; pp. 150 - 152
Main Authors Afrazi, Amin, Garcia-Rodriguez, Sylvana, Maloney, James D, Morgan, Clinton T
Format Journal Article
LanguageEnglish
Published England Oxford University Press 01.01.2021
Subjects
Adult
Case Reports
COVID-19 - complications
COVID-19 - diagnosis
Disease Progression
Humans
Lung - diagnostic imaging
Male
Pneumothorax - diagnosis
Pneumothorax - etiology
SARS-CoV-2
Tomography, X-Ray Computed
Covid-19
Cavitary
Coronavirus
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ISSN1569-9285
1569-9293
1569-9285
DOI10.1093/icvts/ivaa238

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Summary:Abstract Severe respiratory sequelae drive morbidity-associated with coronavirus 2019 (COVID-19) disease. We report a case of COVID-19 pneumonia complicated by cavitary lesions and pneumothorax in a young healthy male. Pneumothorax management with catheter thoracostomy and rapid resolution of the cavitary lesions are described. An extensive work-up for other causes a cavitation was negative and the temporal correlation of the cavities with COVID-19 infection plus their rapid resolution suggest a direct relationship. We propose a mechanism for cavitation secondary to microangiopathy, a cause of cavitation in the vasculitides and a known feature of COVID-19.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1569-9285
1569-9293
1569-9285
DOI:10.1093/icvts/ivaa238