Open AccessA rare case of spontaneous combined hydropneumothorax in a case of severe COVID pneumonia
Author(s) -
Yelamanchi Hanock Devadoss,
Mahendra Namdev Kale,
Uma Shankar,
Narender Yadav
Publication year - 2021
Publication title -
indian journal of case reports
Language(s) - English
Resource type - Journals
eISSN - 2454-1303
pISSN - 2454-129X
DOI - 10.32677/ijcr.v7i10.3084
Subject(s) - hydropneumothorax , medicine , coagulopathy , covid-19 , complication , pneumonia , d dimer , surgery , anesthesia , pneumothorax , disease , infectious disease (medical specialty)
The combined spontaneous hydropneumothorax in a healthy young female of COVID-19 is relatively rare in the absence of ventilator-induced barotrauma and associated with typical COVID-related coagulopathy and inflammation. Here, we present the case of a 32-year-old COVID-19-positive female who developed sudden breathlessness and tachycardia. On clinical evaluation and imaging studies, she was found to have hydropneumothorax along with high D-dimer levels. Although the exact cause for this complication is not known, the COVID-19-related coagulopathy and inflammatory response are the likely cause. Monitoring D-dimer levels and early intervention by putting intercostal drain can be life-saving.