Fatal Pyopneumothorax in a COVID-19 Patient.
bronchopleural fistula
chest drain
covid 19
multi-drug resistant pathogen
organized empyema thoracis
pyopneumothorax
thoracostomy tube
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
accepted:
24
11
2022
entrez:
29
12
2022
pubmed:
30
12
2022
medline:
30
12
2022
Statut:
epublish
Résumé
The COVID-19 pandemic has impacted every aspect of our lives since its start in December 2019. Among various COVID-19 complications, pleural complications are also increasingly reported but rarely from Nepal. Here, we presented a case of pyopneumothorax in a 52-year-old male patient referred from another center and admitted to the ICU of Nepal Armed Police Force Hospital with a diagnosis of severe COVID-19 pneumonia in the background of alcohol withdrawal syndrome with delirium tremens and generalized tonic-clonic seizures. He developed a rapid decline in respiratory status with a right-sided pneumothorax and underwent an immediate needle thoracostomy, followed by chest tube insertion. On the sixth day of admission, he had thick yellowish pus in the chest drain (pyopneumothorax), and despite the rigorous efforts in treatment, he died on the 15th day of admission. Though relatively uncommon, clinicians should consider pleural complications like pneumothorax, pleural effusion, pneumomediastinum, and empyema in patients with impaired immune status. In such patients, we should ensure prompt diagnosis with the earliest intervention and rationale use of antibiotics.
Identifiants
pubmed: 36579191
doi: 10.7759/cureus.31866
pmc: PMC9789894
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e31866Informations de copyright
Copyright © 2022, Gurung et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Med Intensiva (Engl Ed). 2022 Apr;46(4):229-231
pubmed: 35461668
Toxicol Rep. 2021;8:1980
pubmed: 34490071
J Thorac Dis. 2021 Jul;13(7):4484-4499
pubmed: 34422375
Crit Care Med. 2003 Mar;31(3):869-77
pubmed: 12626999
Korean J Radiol. 2020 May;21(5):627-628
pubmed: 32323507
Int J Crit Illn Inj Sci. 2014 Apr;4(2):143-55
pubmed: 25024942
Int J Crit Illn Inj Sci. 2015 Jul-Sep;5(3):160-9
pubmed: 26557486
Antibiotics (Basel). 2021 Sep 23;10(10):
pubmed: 34680727
N Engl J Med. 2021 Feb 25;384(8):693-704
pubmed: 32678530
Respir Med Case Rep. 2021 Mar 03;32:101372
pubmed: 33732612
Turk J Med Sci. 2021 Apr 23;51(6):2822-2826
pubmed: 33890447
Antimicrob Resist Infect Control. 2021 Jan 29;10(1):21
pubmed: 33514424
Radiol Case Rep. 2020 Nov;15(11):2378-2381
pubmed: 32983308
Eur J Case Rep Intern Med. 2021 Jul 15;8(7):002706
pubmed: 34377699
Infection. 2022 Feb;50(1):83-92
pubmed: 34176088
Eur J Cardiothorac Surg. 2020 Dec 1;58(6):1216-1221
pubmed: 33164094
Eur Respir J. 2020 Nov 19;56(5):
pubmed: 32907891