Different presentation of pulmonary parenchymal disruption in COVID-19 pneumonia. Case series of Sub-Intensive Care Unit in Naples, Italy

  • Giorgio E. Polistina | giorgiopolistina@gmail.com Sub-Intensive Care Unit and Respiratory Physiopathology Department, Cotugno-Monaldi Hospital, Naples, Italy. https://orcid.org/0000-0003-2367-6604
  • Francesca Simioli Sub-Intensive Care Unit and Respiratory Physiopathology Department, Cotugno-Monaldi Hospital, Naples, Italy.
  • Pasquale Imitazione Sub-Intensive Care Unit and Respiratory Physiopathology Department, Cotugno-Monaldi Hospital, Naples, Italy. https://orcid.org/0000-0003-4963-1746
  • Maurizia Lanza Sub-Intensive Care Unit and Respiratory Physiopathology Department, Cotugno-Monaldi Hospital, Naples, Italy.
  • Anna Annunziata Sub-Intensive Care Unit and Respiratory Physiopathology Department, Cotugno-Monaldi Hospital, Naples, Italy.
  • Giuseppe Fiorentino Sub-Intensive Care Unit and Respiratory Physiopathology Department, Cotugno-Monaldi Hospital, Naples, Italy. https://orcid.org/0000-0002-2523-9769

Abstract

The coronavirus disease 2019 (COVID-19) is a recent pandemic that affected more than 5 million people worldwide. Chest high resolution computed tomography (HRCT) is an essential tool in diagnosis and management of the disease. Pulmonary parenchymal opacity is a typical sign of the disease, but not the only one. Pneumothorax, pneumomediastinum, bronchiectasis and cysts are probably underrated complications of COVID-19 that can worsen prognosis, in terms of prolonged hospitalization and need of oxygen therapy. In our single center case series, we outline four different manifestations of pneumothorax, pneumomediastinum and cysts in hospitalized patients with COVID-19 pneumonia.

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Published
2020-09-18
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Issue
Section
COVID-19 - Collection of articles on the Coronavirus outbreak
Keywords:
COVID-19, Coronavirus, pneumomediastinum, pneumothorax, high resolution computed tomography
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How to Cite
Polistina, G. E., Simioli, F., Imitazione, P., Lanza, M., Annunziata, A., & Fiorentino, G. (2020). Different presentation of pulmonary parenchymal disruption in COVID-19 pneumonia. Case series of Sub-Intensive Care Unit in Naples, Italy. Monaldi Archives for Chest Disease, 90(4). https://doi.org/10.4081/monaldi.2020.1482