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Vol. 44. Issue 9.
Pages 591-592 (December 2020)
Vol. 44. Issue 9.
Pages 591-592 (December 2020)
Images in Intensive Medicine
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Spontaneous pneumothorax and pneumomediastinum in bilateral pneumonia due to COVID-19
Neumomediastino y neumotórax espontáneo en neumonía bilateral por COVID-19
R.M. Vela Colmenero
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Corresponding author.
, M.D. Pola Gallego de Guzmán, M.C. Molina de la Torre
Servicio de Medicina Intensiva, Complejo Hospitalario de Jaén, Jaén, Spain
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A 65-year-old diabetic male with non-seasonal asthma treated with inhaled corticosteroids was admitted to the Intensive Care Unit diagnosed with bilateral pneumonia due to COVID-19 and hypoxemic acute respiratory failure with the administration of high-flow nasal oxygen. The physical examination revealed subcutaneous emphysema predominantly located in the right side of the neck; emergency CT with contrast administration was thus requested, revealing important pneumomediastinum mainly in the anterior zone (Fig. 1), with no apparent underlying cause; mild apical pneumothorax at the periphery of the left lung (Fig. 2); and a ground-glass pattern of bilateral peripheral predominance associated to areas of consolidation and air bronchogram (Fig. 3).

Figure 1
Figure 2
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Please cite this article as: Vela Colmenero RM, Pola Gallego de Guzmán MD, Molina de la Torre MC. Neumomediastino y neumotórax espontáneo en neumonía bilateral por COVID-19. Med Intensiva. 2020;155:591–592.

Copyright © 2020. Elsevier España, S.L.U. and SEMICYUC
Medicina Intensiva (English Edition)

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