Bronchopleural fistula associated persistent pneumothorax in a patient recovering from COVID‐19 pneumonia: A case report

Author:

Regmi Milan1ORCID,Karki Anurag1,Shrestha Moon1ORCID,Pathak Nibesh1,Bhandari Sanjeev1,Sharma Niraj Kumar1,Pant Pankaj2

Affiliation:

1. Tribhuvan University Institute of Medicine Maharajgunj Nepal

2. Pulmonary and Critical Care Medicine Institute of Medicine Tribhuvan University Teaching Hospital Maharajgunj Nepal

Abstract

Key Clinical MessagePneumothorax and bronchopleural fistula (BPF) are potentially fatal complications that can occur in patients with COVID‐19 pneumonia. Early detection, appropriate treatment, and consideration of surgical intervention are necessary for optimum outcomes.AbstractIntroductionHealthcare professionals face complex challenges as a result of the rare emergence of pneumothorax among the variety of COVID‐19 complications, including severe viral pneumonia.Case HistoryA 57‐year‐old male with multiple comorbidities diagnosed with COVID‐19 pneumonia was admitted to our center and exhibited bilateral crepitations. During hospitalization, the patient developed right‐sided pneumothorax that persisted despite chest tube insertion was linked to the presence of BPF.DiscussionThe occurrence of pneumothorax in COVID‐19 patients is relatively rare risk factors for which are not yet fully understood, although smoking history may play a role. Conservative management is recommended for asymptomatic cases, while intercostal drainage is necessary for symptomatic patients. Surgical intervention may be required to manage the BPF in some instances.ConclusionPneumothorax and BPF are rare but potentially life‐threatening complications in patients recovering from COVID‐19 pneumonia. Early recognition, appropriate treatment, and consideration of surgical intervention are crucial for optimizing patient outcomes.

Publisher

Wiley

Subject

General Medicine

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