Spontaneous pneumomediastinum in COVID-19 pneumonia

Case contributed by Dr Bahman Rasuli

Presentation

Severe dyspnea, fever, and chest pain.

Patient Data

Age: 20 years
Gender: Female

Extensive bilateral air space consolidations with anterior ground-glass opacities are noted in both lungs multiple segments.

There is air in the mediastinum surrounding the cardiomediastinal structures compatible with pneumomediastinum.

Case Discussion

The recent patient had a positive RT-PCR COVID-19 assay complicated by extensive lung involvement and pneumomediastinum. Spontaneous pneumomediastinum in cases of COVID-19 pneumonia could be due to the rupture of the alveolar membrane caused by the virus.

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