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Right Spontaneous Hemopneumothorax Associated with SARS-CoV-2 Infection - Case Presentation

Received: 31 March 2021    Accepted: 3 May 2021    Published: 14 May 2021
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Abstract

Context: SARS-COV2 infection, the respiratory febrile disease firstly described in China in December 2019, which was declared a pandemic on March 11th, 2020, is associated with multiple air and fluid collections. Spontaneous hemopneumothorax in coronavirus disease 19 (COVID 19) patients is a rare clinical entity described as an unusual complication of severe COVID 19 pneumonia. Objective: The authors used the database of a single COVID 19 treatment center only. In our case series, we encountered a patient with particular hemopneumothorax features that we have decided to present. Method: A 51-year-old non-smoker male with fever and cough lasting for 7 days was admitted to the dedicated COVID 19 unit of “Dr. Carol Davila” Central University Military Hospital Bucharest. The patient developed hemopneumothorax on the 14th day since the beginning of the symptoms. The thoracic surgeon performed pleural drainage through minimal pleurotomy allowing the evacuation of both air and fluid. Results: Post interventional computed tomography scan showed the remission of hemopneumothorax. The favorable evolution and the negative SARS COV2 screening throat swab test allowed the discharge of the patient on the 25th day after initial diagnosis. Conclusions: In certain situations, COVID 19 pneumopathy may lead to hemopneumothorax with unpredictable evolution, and only a fast therapeutic intervention can save the patient’s life.

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 7, Issue 1)
DOI 10.11648/j.ijcts.20210701.12
Page(s) 8-12
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

SARS - CoV-2, Spontaneous Hemopneumothorax, Minimal Pleurotomy

References
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Cite This Article
  • APA Style

    Claudiu-Eduard Nistor, Anca-Pati Cucu, Camelia Stanciu-Găvan, Adrian Ciuche. (2021). Right Spontaneous Hemopneumothorax Associated with SARS-CoV-2 Infection - Case Presentation. International Journal of Cardiovascular and Thoracic Surgery, 7(1), 8-12. https://doi.org/10.11648/j.ijcts.20210701.12

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    ACS Style

    Claudiu-Eduard Nistor; Anca-Pati Cucu; Camelia Stanciu-Găvan; Adrian Ciuche. Right Spontaneous Hemopneumothorax Associated with SARS-CoV-2 Infection - Case Presentation. Int. J. Cardiovasc. Thorac. Surg. 2021, 7(1), 8-12. doi: 10.11648/j.ijcts.20210701.12

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    AMA Style

    Claudiu-Eduard Nistor, Anca-Pati Cucu, Camelia Stanciu-Găvan, Adrian Ciuche. Right Spontaneous Hemopneumothorax Associated with SARS-CoV-2 Infection - Case Presentation. Int J Cardiovasc Thorac Surg. 2021;7(1):8-12. doi: 10.11648/j.ijcts.20210701.12

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  • @article{10.11648/j.ijcts.20210701.12,
      author = {Claudiu-Eduard Nistor and Anca-Pati Cucu and Camelia Stanciu-Găvan and Adrian Ciuche},
      title = {Right Spontaneous Hemopneumothorax Associated with SARS-CoV-2 Infection - Case Presentation},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {7},
      number = {1},
      pages = {8-12},
      doi = {10.11648/j.ijcts.20210701.12},
      url = {https://doi.org/10.11648/j.ijcts.20210701.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20210701.12},
      abstract = {Context: SARS-COV2 infection, the respiratory febrile disease firstly described in China in December 2019, which was declared a pandemic on March 11th, 2020, is associated with multiple air and fluid collections. Spontaneous hemopneumothorax in coronavirus disease 19 (COVID 19) patients is a rare clinical entity described as an unusual complication of severe COVID 19 pneumonia. Objective: The authors used the database of a single COVID 19 treatment center only. In our case series, we encountered a patient with particular hemopneumothorax features that we have decided to present. Method: A 51-year-old non-smoker male with fever and cough lasting for 7 days was admitted to the dedicated COVID 19 unit of “Dr. Carol Davila” Central University Military Hospital Bucharest. The patient developed hemopneumothorax on the 14th day since the beginning of the symptoms. The thoracic surgeon performed pleural drainage through minimal pleurotomy allowing the evacuation of both air and fluid. Results: Post interventional computed tomography scan showed the remission of hemopneumothorax. The favorable evolution and the negative SARS COV2 screening throat swab test allowed the discharge of the patient on the 25th day after initial diagnosis. Conclusions: In certain situations, COVID 19 pneumopathy may lead to hemopneumothorax with unpredictable evolution, and only a fast therapeutic intervention can save the patient’s life.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Right Spontaneous Hemopneumothorax Associated with SARS-CoV-2 Infection - Case Presentation
    AU  - Claudiu-Eduard Nistor
    AU  - Anca-Pati Cucu
    AU  - Camelia Stanciu-Găvan
    AU  - Adrian Ciuche
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    N1  - https://doi.org/10.11648/j.ijcts.20210701.12
    DO  - 10.11648/j.ijcts.20210701.12
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
    SP  - 8
    EP  - 12
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20210701.12
    AB  - Context: SARS-COV2 infection, the respiratory febrile disease firstly described in China in December 2019, which was declared a pandemic on March 11th, 2020, is associated with multiple air and fluid collections. Spontaneous hemopneumothorax in coronavirus disease 19 (COVID 19) patients is a rare clinical entity described as an unusual complication of severe COVID 19 pneumonia. Objective: The authors used the database of a single COVID 19 treatment center only. In our case series, we encountered a patient with particular hemopneumothorax features that we have decided to present. Method: A 51-year-old non-smoker male with fever and cough lasting for 7 days was admitted to the dedicated COVID 19 unit of “Dr. Carol Davila” Central University Military Hospital Bucharest. The patient developed hemopneumothorax on the 14th day since the beginning of the symptoms. The thoracic surgeon performed pleural drainage through minimal pleurotomy allowing the evacuation of both air and fluid. Results: Post interventional computed tomography scan showed the remission of hemopneumothorax. The favorable evolution and the negative SARS COV2 screening throat swab test allowed the discharge of the patient on the 25th day after initial diagnosis. Conclusions: In certain situations, COVID 19 pneumopathy may lead to hemopneumothorax with unpredictable evolution, and only a fast therapeutic intervention can save the patient’s life.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Department of Thoracic Surgery, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania

  • Department of Thoracic Surgery, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania

  • Department of Thoracic Surgery, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania

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