SARS-Cov-2 Pneumonia with Subcutaneous Emphysema: A Case Report

Dr.Nilofur Banu (1) , Mahendran (2)
(1) Registrar, Critical Care Department, SIMS Hospital, Nungambakkam, Chennai, Tamil Nadu 600034 , India
(2) Head Of The Department SIMS Hospital, Nungam bakkam,Chennai, Tamil Nadu 600034 , India

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Vol. 4 No. 08 (2021)
Keywords:
    SARS-Cov-2, pneumonia, lung, hospitalization
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Abstract

Introduction:Severeacuterespiratorysyndromecoronavirus2(SARS-CoV-2)SARS-CoV-2isanovelvirusfirstcasereportedinWuhan,China.Nowhasspreadtorestoftheworldinfectingmorethan1,000,000populationworld-wide.Sinceitisanoveldiseaseveryfewisknownaboutthediseaseanditseffectonpatients.Furthermore,subcutaneousemphysemaisanuncommoncomplicationofSARS-CoV-2pneumonia.Here,wediscussafatalcaseofSARS-CoV-2pneumoniawithsubcutaneousemphysema.Patientconcerns:A66-year-oldfemale,diagnosedasSARS-CoV-2with60-70%fibrousofbothlungdevelopedextensiveair-spaceopacities,pneumoniaandsubcutaneousemphysemawhichwasconfirmedbyxraychest.Subcu-taneousemphysemawasfoundinneck,bilateralchestwalls,andbothupperlimbs,extendingtillabdomenwallandgroin.Diagnosis:ThispatientwasdiagnosedtohaveSARS-CoV-2infectionafterlaboratory-confirmationbyReverseTranscriptionPolymeraseChainReaction(RTPCR),atthetimeofdiagnosisofSARS-CoV-2patienthaddeveloped60-70%fibrosisofbothlungswhichwasconfirmedbyCom-puterizedTomography(CT)oflungFigure1,patienthadanunderlyingcomorbidconditionofDiabetesMellitus(DM)andsystematicHyperTension(HT).PatientonthecourseofillnessdevelopedPneumoniaandsubcutaneousemphysema,whichwasconfirmedbychestX-ray.Interventions:ShewasmanagedinitiallywithNon-ReBreatherMask(NRBM)with15litresofoxygen,withwhichshewasabletomaintainOxygenSatura-tion(spo2)of98%,lateronthecourseofillnessherrespiratorydistressstartedtoworsenandshewasconnectedtoBilevelPositiveAirwayPressure(BiPAP)evenwiththatherconditionstartedtodeterioratesoshewasshiftedtoIntensiveCareUnits(ICU)foradvancelifesupportandcareintheICU,shewasconnectedtoNon-invasiveventilation(NIV),duringthehospitalizationshereceivedvasodilators,antibacterial,steroids,anti-coagulantsandantiviraltherapy.Outcomes:Shediedonthetenthdayofcourseofhospitalstay.SubcutaneousemphysemamayoccurinpatientswithSARS-CoV-2infectionasararecomplication

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Authors

Dr.Nilofur Banu
Registrar, Critical Care Department, SIMS Hospital, Nungambakkam, Chennai, Tamil Nadu 600034
dr.nilofurbanuu@gmail.com (Primary Contact)
Mahendran
Head Of The Department SIMS Hospital, Nungam bakkam,Chennai, Tamil Nadu 600034
Banu, D., & Mahendran. (2022). SARS-Cov-2 Pneumonia with Subcutaneous Emphysema: A Case Report. Journal of Medical Case Reports and Reviews, 4(08). Retrieved from http://jmcrr.info/index.php/jmcrr/article/view/142
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