Spontaneous Pneumomediastinum: A Possible Severe Condition in SARS-CoV-2 Pneumonia

Background Spontaneous pneumomediastinum (SP) is the presence of free air into extra-alveolar tissues within the mediastinum, without notion of trauma. This rare condition may occur as a complication of an underlying severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia. Higher rate...

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Autores principales:	Geoffrey Jacqmin, Manuel Pirotte, Carlo Caravaggio, Philippe Devaux
Formato:	article
Lenguaje:	EN
Publicado:	Georg Thieme Verlag KG 2021
Materias:	spontaneous pneumomediastinum sars-cov-2 covid-19 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/cf11a8eb47454ca4938fcd6d6b7ad4ab
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spelling	oai:doaj.org-article:cf11a8eb47454ca4938fcd6d6b7ad4ab2021-11-11T00:00:04ZSpontaneous Pneumomediastinum: A Possible Severe Condition in SARS-CoV-2 Pneumonia2194-76352194-764310.1055/s-0041-1735478https://doaj.org/article/cf11a8eb47454ca4938fcd6d6b7ad4ab2021-01-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735478https://doaj.org/toc/2194-7635https://doaj.org/toc/2194-7643Background Spontaneous pneumomediastinum (SP) is the presence of free air into extra-alveolar tissues within the mediastinum, without notion of trauma. This rare condition may occur as a complication of an underlying severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia. Higher rates of mechanical ventilation are reported in coronavirus disease 2019 (COVID-19) patients with pneumomediastinum. Case Description We report two cases of COVID-19 infected patients suffering from mild and severe SP and their outcome. Discussion The objective of this report is to review the literature about this condition. We discuss about the pathological pathways underlying this complication and how it reflects the severity of COVID-19 pneumonia. Conclusion Currently, it remains unclear if SP in SARS-CoV-2 pneumonia is a potential predictor of disease worsening, for it does not seem to be related with a higher rate of mortality.Geoffrey JacqminManuel PirotteCarlo CaravaggioPhilippe DevauxGeorg Thieme Verlag KGarticlespontaneous pneumomediastinumsars-cov-2covid-19SurgeryRD1-811ENThe Thoracic & Cardiovascular Surgeon Reports, Vol 10, Iss 01, Pp e55-e58 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	spontaneous pneumomediastinum sars-cov-2 covid-19 Surgery RD1-811
spellingShingle	spontaneous pneumomediastinum sars-cov-2 covid-19 Surgery RD1-811 Geoffrey Jacqmin Manuel Pirotte Carlo Caravaggio Philippe Devaux Spontaneous Pneumomediastinum: A Possible Severe Condition in SARS-CoV-2 Pneumonia
description	Background Spontaneous pneumomediastinum (SP) is the presence of free air into extra-alveolar tissues within the mediastinum, without notion of trauma. This rare condition may occur as a complication of an underlying severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia. Higher rates of mechanical ventilation are reported in coronavirus disease 2019 (COVID-19) patients with pneumomediastinum. Case Description We report two cases of COVID-19 infected patients suffering from mild and severe SP and their outcome. Discussion The objective of this report is to review the literature about this condition. We discuss about the pathological pathways underlying this complication and how it reflects the severity of COVID-19 pneumonia. Conclusion Currently, it remains unclear if SP in SARS-CoV-2 pneumonia is a potential predictor of disease worsening, for it does not seem to be related with a higher rate of mortality.
format	article
author	Geoffrey Jacqmin Manuel Pirotte Carlo Caravaggio Philippe Devaux
author_facet	Geoffrey Jacqmin Manuel Pirotte Carlo Caravaggio Philippe Devaux
author_sort	Geoffrey Jacqmin
title	Spontaneous Pneumomediastinum: A Possible Severe Condition in SARS-CoV-2 Pneumonia
title_short	Spontaneous Pneumomediastinum: A Possible Severe Condition in SARS-CoV-2 Pneumonia
title_full	Spontaneous Pneumomediastinum: A Possible Severe Condition in SARS-CoV-2 Pneumonia
title_fullStr	Spontaneous Pneumomediastinum: A Possible Severe Condition in SARS-CoV-2 Pneumonia
title_full_unstemmed	Spontaneous Pneumomediastinum: A Possible Severe Condition in SARS-CoV-2 Pneumonia
title_sort	spontaneous pneumomediastinum: a possible severe condition in sars-cov-2 pneumonia
publisher	Georg Thieme Verlag KG
publishDate	2021
url	https://doaj.org/article/cf11a8eb47454ca4938fcd6d6b7ad4ab
work_keys_str_mv	AT geoffreyjacqmin spontaneouspneumomediastinumapossiblesevereconditioninsarscov2pneumonia AT manuelpirotte spontaneouspneumomediastinumapossiblesevereconditioninsarscov2pneumonia AT carlocaravaggio spontaneouspneumomediastinumapossiblesevereconditioninsarscov2pneumonia AT philippedevaux spontaneouspneumomediastinumapossiblesevereconditioninsarscov2pneumonia
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Spontaneous Pneumomediastinum: A Possible Severe Condition in SARS-CoV-2 Pneumonia

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