Anatolian Journal of Emergency Medicine

Yazarlar: Agit AKGÜL, Sevilay Sema ÜNVER, Tuğçe Nur BURNAZ

Konular:Tıp

Anahtar Kelimeler:Covid-19,Spontaneous subcutanous emphysema,Spontaneous pneumomediastinum

Özet: Aim: Covid-19 pandemic is a new disease that shook the world. Its distinct clinical pictures that cannot be sharply limited may illuminate the pathogenesis of the disease and lead to new treatment studies. We aimed to present a Covid- 19 patient with rare spontaneous pneumomediastinum and subcutaneous emphysema. Case: A 40-year-old male patient was admitted to our hospital with respiratory distress. On his arrival he was cyanotic, confused, cold sweaty. Vital signs; blood pressure: 145/85 pulse: 142 respiratory rate: 40 fever: 37.8 unsupported oxygen saturation: 65. There was crepitation with palpation on both sides of the neck. In the computed tomography imaging of the patient; There were subcutaneous emphysema and pneumomediastinum accompanying peripherally located ground glass images. The patient whose respiratory distress persisted was intubated and taken to the intensive care unit. The patient who developed cardiopulmonary arrest on the second day of intensive care treatment was accepted as exitus. Conclusion: Covid-19 also causes mortality in young patients. Covid-19 can contain different clinical pictures. Physicians working in the pandemic unit should be prepared for atypical applications; different examination findings should be kept in mind in terms of Covid-19.

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