Pneumomediastinum and subcutaneous emphysema as complication in COVID-19 patient with high CT severity score: Two case reports

Abstract Coronavirus disease 2019 (COVID-19) is caused due to infection by severe acute respiratory syndrome virus coronavirus 2 (SARS-CoV-2). It is highly infective virus resulting in recent on-going pandemic and causing multisystem involvement predominantly affecting respiratory system. The most c...

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Bibliographic Details
Published in:The Indian journal of radiology & imaging 2021-01, Vol.31 (S 01), p.S187-S191
Main Authors: Kumar, Ravi R, Singhai, Alok K, Lokare, Shantanu V, Pandya, Saumil P
Format: Article
Language:English
Subjects:
Analysis
Case Report
Case reports
complications
Computed tomography
Coronaviruses
COVID-19
ct chest
CT imaging
Emphysema
Emphysema, Pulmonary
pandemic
prognosis spontaneous pneumomediastinum
Respiratory diseases
Respiratory system
Risk factors
Severe acute respiratory syndrome coronavirus 2
Signs and symptoms
subcutaneous emphysema
Thickening
Viral diseases
Viruses
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Summary:Abstract Coronavirus disease 2019 (COVID-19) is caused due to infection by severe acute respiratory syndrome virus coronavirus 2 (SARS-CoV-2). It is highly infective virus resulting in recent on-going pandemic and causing multisystem involvement predominantly affecting respiratory system. The most common presenting symptoms are fever, dry cough and breathlessness. The role of Computerized tomography (CT) is crucial especially in those patient having negative (rRT-PCR) but with high clinical suspicion, for prognosis and follow up. CT imaging findings mainly consists of multiple patchy bilateral ground-glass opacity (GGO) with or without consolidation and interlobular septal thickening with a peripheral or posterior distribution, mainly involving the lower lobes, depending upon the stage of disease. We present two case report of high CT severity score COVID-19 infection on non-invasive ventilation (NIV) having rare complication of pneumomediastinum and subcutaneous emphysema apart from typical COVID pattern lung findings during their course of admission in the hospital.
ISSN:0971-3026
0970-2016
1998-3808
0971-3026
DOI:10.4103/ijri.IJRI_629_20