Spontaneous pneumothorax in a pregnant woman with COVID-19: a case report
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Abstract
Numerous symptoms and complications of COVID-19 include pneumothorax as a rare but potentially-lethal condition. The present case report involved a pregnant woman with COVID-19 presenting with pneumothorax. A 30-year-old pregnant woman with COVID-19 and a gestational age of 32 weeks presented to our hospital with dyspnea, coughs and fever. The rales initially heard in both lungs continued to be heard only in the left lung after 24 hours. Pneumothorax was confirmed through radiology. The emergency cesarean section performed to avoid the potential detrimental effects of the infection on the fetus caused no breathing episodes in the biophysical profile. The patient recovered postpartum without complications and both the mother and the newborn were discharged 12 days later. Spontaneous pneumothorax is a rare complication in COVID-19 pregnant patients that can emerge at any stage of the disease.
1. Jin YH, Cai L, Cheng ZS, Cheng H, Deng T, Fan YP, et al. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Mil Med Res. 2020;7(1):4.
2. Rahmani S, Norkhomami S, Shahi B, Keykha M. Pregnancy and childbirth during COVID-19 pandemic: a case series and review of literature. Front Emerg Med. 2021; In press.
3. Soleimani Z, Hantoushzadeh S, Soleimani A. Severe COVID-19 in a postpartum woman: a three-month challenge with convalescent plasma and corticosteroid. Front Emerg Med. 2021; In press.
4. Delahoy MJ, Whitaker M, O’Halloran A, Chai SJ, Kirley PD, Alden N, et al. Characteristics and maternal and birth outcomes of hospitalized pregnant women with laboratory-confirmed COVID-19—COVID-NET, 13 States, March 1–August 22, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(38):1347-54.
5. Hollingshead C, Hanrahan J. Spontaneous pneumothorax following COVID-19 pneumonia. IDCases. 2020;21:e00868.
6. Li W, Xu S, Li P, Wang G, Wang Z. Pneumothorax in 2019 novel coronavirus pneumonia needs to be recognized. Infection. 2021;49(2):367-8.
7. Jarvis CI, Van Zandvoort K, Gimma A, Prem K, Klepac P, Rubin GJ, et al. Quantifying the impact of physical distance measures on the transmission of COVID-19 in the UK. BMC Med. 2020;18(1):124.
8. Dashraath P, Jeslyn WJL, Karen LMX, Min LL, Sarah L, Biswas A, et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol. 2020;222(6):521-31.
9. Zambrano LI, Fuentes-Barahona IC, Bejarano-Torres DA, Bustillo C, Gonzales G, Vallecillo-Chinchilla G, et al. A pregnant woman with COVID-19 in Central America. Travel Med Infect Dis. 2020;36:101639.
10. Mimouni F, Lakshminrusimha S, Pearlman SA, Raju T, Gallagher PG, Mendlovic J. Perinatal aspects on the covid-19 pandemic: a practical resource for perinatal–neonatal specialists. J Perinatol. 2020;40(5):820-6.
11. Lyu R, Li X. Diagnosis and treatment of severe COVID-19 complicated with spontaneous pneumothorax: a case report. Adv ultrasound diagn ther. 2020;4(2):142-6.
12. Abushahin A, Degliuomini J, Aronow WS, Newman TG. A case of spontaneous pneumothorax 21 Days after diagnosis of coronavirus disease 2019 (COVID-19) pneumonia. Am J Case Rep. 2020;21:e925787-1-4.
13. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9.
14. Janssen ML, van Manen MJ, Cretier SE, Braunstahl G-J. Pneumothorax in patients with prior or current COVID-19 pneumonia. Respir Med Case Rep. 2020;31:101187.
15. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507-13.
16. Quincho-Lopez A, Quincho-Lopez DL, Hurtado-Medina FD. Case report: pneumothorax and pneumomediastinum as uncommon complications of COVID-19 pneumonia—literature review. Am J Trop Med Hyg. 2020;103(3):1170-6.
17. Donders F, Lonnée-Hoffmann R, Tsiakalos A, Mendling W, Martinez de Oliveira J, Judlin P, et al. ISIDOG recommendations concerning COVID-19 and pregnancy. Diagnostics (Basel). 2020;10(4):243.
18. Committee on obstetric practice. Committee opinion no. 723: guidelines for diagnostic imaging during pregnancy and lactation. Obstet Gynecol. 2017;130(4):e210-6.
19. Abushouk AI, Taheri MS, Pooransari P, Mirbaha S, Rouhipour A, Baratloo A. Pregnancy screening before diagnostic radiography in emergency department; an educational review. Emerg (Tehran). 2017;5(1):e60.
20. Goldberg-Stein SA, Liu B, Hahn PF, Lee SI. Radiation dose management: part 2, estimating fetal radiation risk from CT during pregnancy. AJR Am J Roentgenol. 2012;198(4):W352-6.
21. Karimi MA, Radpour A, Sedaghat A, Gity M, Hekmatnia A, Sanei-Taheri M, et al. Proposed imaging guidelines for pregnant women suspected of having COVID-19. Acad Radiol. 2020;27(6):902-3.
2. Rahmani S, Norkhomami S, Shahi B, Keykha M. Pregnancy and childbirth during COVID-19 pandemic: a case series and review of literature. Front Emerg Med. 2021; In press.
3. Soleimani Z, Hantoushzadeh S, Soleimani A. Severe COVID-19 in a postpartum woman: a three-month challenge with convalescent plasma and corticosteroid. Front Emerg Med. 2021; In press.
4. Delahoy MJ, Whitaker M, O’Halloran A, Chai SJ, Kirley PD, Alden N, et al. Characteristics and maternal and birth outcomes of hospitalized pregnant women with laboratory-confirmed COVID-19—COVID-NET, 13 States, March 1–August 22, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(38):1347-54.
5. Hollingshead C, Hanrahan J. Spontaneous pneumothorax following COVID-19 pneumonia. IDCases. 2020;21:e00868.
6. Li W, Xu S, Li P, Wang G, Wang Z. Pneumothorax in 2019 novel coronavirus pneumonia needs to be recognized. Infection. 2021;49(2):367-8.
7. Jarvis CI, Van Zandvoort K, Gimma A, Prem K, Klepac P, Rubin GJ, et al. Quantifying the impact of physical distance measures on the transmission of COVID-19 in the UK. BMC Med. 2020;18(1):124.
8. Dashraath P, Jeslyn WJL, Karen LMX, Min LL, Sarah L, Biswas A, et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol. 2020;222(6):521-31.
9. Zambrano LI, Fuentes-Barahona IC, Bejarano-Torres DA, Bustillo C, Gonzales G, Vallecillo-Chinchilla G, et al. A pregnant woman with COVID-19 in Central America. Travel Med Infect Dis. 2020;36:101639.
10. Mimouni F, Lakshminrusimha S, Pearlman SA, Raju T, Gallagher PG, Mendlovic J. Perinatal aspects on the covid-19 pandemic: a practical resource for perinatal–neonatal specialists. J Perinatol. 2020;40(5):820-6.
11. Lyu R, Li X. Diagnosis and treatment of severe COVID-19 complicated with spontaneous pneumothorax: a case report. Adv ultrasound diagn ther. 2020;4(2):142-6.
12. Abushahin A, Degliuomini J, Aronow WS, Newman TG. A case of spontaneous pneumothorax 21 Days after diagnosis of coronavirus disease 2019 (COVID-19) pneumonia. Am J Case Rep. 2020;21:e925787-1-4.
13. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9.
14. Janssen ML, van Manen MJ, Cretier SE, Braunstahl G-J. Pneumothorax in patients with prior or current COVID-19 pneumonia. Respir Med Case Rep. 2020;31:101187.
15. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507-13.
16. Quincho-Lopez A, Quincho-Lopez DL, Hurtado-Medina FD. Case report: pneumothorax and pneumomediastinum as uncommon complications of COVID-19 pneumonia—literature review. Am J Trop Med Hyg. 2020;103(3):1170-6.
17. Donders F, Lonnée-Hoffmann R, Tsiakalos A, Mendling W, Martinez de Oliveira J, Judlin P, et al. ISIDOG recommendations concerning COVID-19 and pregnancy. Diagnostics (Basel). 2020;10(4):243.
18. Committee on obstetric practice. Committee opinion no. 723: guidelines for diagnostic imaging during pregnancy and lactation. Obstet Gynecol. 2017;130(4):e210-6.
19. Abushouk AI, Taheri MS, Pooransari P, Mirbaha S, Rouhipour A, Baratloo A. Pregnancy screening before diagnostic radiography in emergency department; an educational review. Emerg (Tehran). 2017;5(1):e60.
20. Goldberg-Stein SA, Liu B, Hahn PF, Lee SI. Radiation dose management: part 2, estimating fetal radiation risk from CT during pregnancy. AJR Am J Roentgenol. 2012;198(4):W352-6.
21. Karimi MA, Radpour A, Sedaghat A, Gity M, Hekmatnia A, Sanei-Taheri M, et al. Proposed imaging guidelines for pregnant women suspected of having COVID-19. Acad Radiol. 2020;27(6):902-3.
| Files | ||
| Issue | Vol 6 No 1 (2022): Winter (February) | |
| Section | Case (report / study) | |
| DOI | 10.18502/fem.v6i1.7681 | |
| Keywords | ||
| COVID-19 Pandemics Parturition Pneumothorax Pregnancy | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Rasekhjahromi A, Jafarzadehjahromi Z, Kalani N, Zarei Babaarabi Z. Spontaneous pneumothorax in a pregnant woman with COVID-19: a case report. Front Emerg Med. 2021;6(1):e9.
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