Göðüs Hastanesi Dergisi. 2022; 36(1): 52-57 | DOI: 10.14744/IGH.2022.43433

COVID-19 Pnömonisi ve Pnömotoraks: 6 Olguluk Seri

Ceyda Anar, Þebnem Karaoðlanoðlu, Süheyla Uygur, Betül Doðan, Mehmet Ünal, Bünyamin Sertoðullarýndan, Onur Turan
Ýzmir Katip Çelebi Atatürk Eðitim ve Araþtýrma Hastanesi Göðüs Hastalýklarý Anabilim Dalý, Ýzmir, Türkiye

Hem pnömotoraks hem de pnömomediastinum entübasyonun komplikasyonlarýdýr. COVID-19 hastalarýnda barotravma olmasa bile pnömotoraks veya pnömomediastinum mevcut olabilir. Burada, pnömotoraks ve/veya pnömomediasteni olan 6 hastayý sunuyoruz. COVID PCR testi hepsinde pozitif çýktý. Olgularýn ikisine tüp torakostomi uygulanmadý. Biri pnömomediastinumdu ve parankimde pnömotoraks yoktu, diðerinde sað akciðerde minimal pnömotoraks vardý. Yoðun bakým ünitesinde yatýþ öyküsü ve yaygýn cilt altý amfizem ve pnömomediasten öyküsü olan bir olguya bilateral tüp torakostomi uygulandý. Hastalarýmýzda mortalite olmadý. Sonuç olarak, spontan pnömomediastinum ve pnömotoraks, COVID-19 enfeksiyonunda yaygýn bir tablo deðildir ve COVID-19 pnömonisinin tedavisinde potansiyel olarak aðýrlaþtýrýcý bir faktör olabilir.

Anahtar Kelimeler: COVID-19, pnömoni, pnömomediastinum, pnömotoraks.

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COVID-19 Pneumonia and Pneumothorax: Series of Six Cases

Ceyda Anar, Þebnem Karaoðlanoðlu, Süheyla Uygur, Betül Doðan, Mehmet Ünal, Bünyamin Sertoðullarýndan, Onur Turan
Department of Chest Diseases, Izmir Katip Celebi Ataturk Training and Research Hospital, Ýzmir, Turkey

Both pneumothorax and pneumomediastinum are complications of intubation. Pneumothorax or pneumomediastinum may be present in COVID-19 patients even in the absence of barotrauma. Here, we report 6 patients with pneumothorax and / or pneumomediastinum. COVID PCR test was positive in all. Tube thoracostomy was not per-formed in two of the cases. One of them was pneumomediastinum and there was no pneumothorax in the parenchyma and the other one had minimal pneumothorax in the right lung. Bilateral tube thorocostomy was performed in one of the cases, with a his-tory of hospitalization in the intensive care unit and extensive subcutaneous emphysema and pneumomediastinum. There was no mortality in our patients. Consequently, spontaneous pneumomediastinum and pneumothorax are not a common picture in COVID-19 infection and could potentially be an aggravating factor in the treatment of COVID-19 pneumonia.

Keywords: COVID-19, pneumonia, pneumomediastum, pneumotoraks.

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ATIF KOPYALA