Selected article for: "chronic disease and dyspnoea progressive worsening"
Author: Poggiali, Erika; Vercelli, Andrea; Iannicelli, Teresa; Tinelli, Valentina; Celoni, Laura; Magnacavallo, Andrea
Title: COVID-19, Chronic Obstructive Pulmonary Disease and Pneumothorax: A Frightening Triad
  • Cord-id: so64wlo2
  • Document date: 2020_6_1
    • ID: so64wlo2
    Snippet: We describe the case of a male patient admitted to our emergency department during the Italian COVID-19 epidemic, for progressive worsening dyspnoea. A diagnosis of pneumothorax and diffuse interstitial lung involvement was promptly made by lung ultrasound and confirmed by an HRCT scan. A chest CT scan also showed diffuse emphysema, as observed in chronic obstructive pulmonary disease (COPD), and small consolidations in the lower lobes, suggestive for COVID-19 pneumonia. A chest tube was immedia
    Document: We describe the case of a male patient admitted to our emergency department during the Italian COVID-19 epidemic, for progressive worsening dyspnoea. A diagnosis of pneumothorax and diffuse interstitial lung involvement was promptly made by lung ultrasound and confirmed by an HRCT scan. A chest CT scan also showed diffuse emphysema, as observed in chronic obstructive pulmonary disease (COPD), and small consolidations in the lower lobes, suggestive for COVID-19 pneumonia. A chest tube was immediately inserted in the emergency room with complete resolution of the dyspnoea. A nasopharyngeal swab for 2019-nCoV was positive. Unfortunately, the patient died from COVID-19-related acute respiratory distress syndrome after 48 days of hospitalization. LEARNING POINTS: Coronavirus disease (COVID-19) can cause death from severe acute respiratory distress syndrome (ARDS). Pneumothorax is a common complication of chronic obstructive pulmonary disease (COPD). The combination of COVID-19, COPD and pneumothorax can prove fatal.

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