Atypical presentation of COVID-19 in a patient with spontaneous pneumothorax and pleural effusion: a case report

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dc.contributor.authorVenkatesan, Ten_US
dc.contributor.authorBulut, Men_US
dc.contributor.authorLazarevic, Men_US
dc.date.accessioned2025-06-18T11:13:48Z
dc.date.available2025-06-18T11:13:48Z
dc.date.issued2025-06
dc.description.abstractCommon COVID-19 symptoms include fever, cough, myalgia, and fatigue, with various complications possible. Pleural effusion and pneumothorax are rare and infrequently co-occur. These complications usually appear in hospitalized patients and often signal a poor prognosis. This report examines an 82-year-old male with severe abdominal pain, mild cough, and runny nose. Abdominal CT showed a small to intermediate right pleural effusion and a small left pneumothorax. Chest CT confirmed these findings and interstitial infiltrates. He tested positive for COVID-19. Treatment involved ceftriaxone (2 g), dexamethasone (6 mg), and remdesivir (100 mg); no chest tube or thoracentesis was required. By the 4th day, chest CT showed resolved pneumothorax and pneumonia, with the pleural effusion unchanged. On the 7th day, after completing a five-day remdesivir course, he was stable and discharged. This case suggests pleural effusion and spontaneous pneumothorax can co-occur in early COVID-19 without severe respiratory symptoms and are not always indicative of a poor prognosis.en_US
dc.identifier.affiliationsThoothukudi Medical College and Hospital, Thoothukudi, Indiaen_US
dc.identifier.affiliationsAnkara Yildirim Beyazit University Faculty of Medicine, Ankara, Turkeyen_US
dc.identifier.affiliationsDepartment of Internal Medicine, Swedish Covenant Hospital, Chicago, USAen_US
dc.identifier.citationVenkatesan T, Bulut M, Lazarevic M. Atypical presentation of COVID-19 in a patient with spontaneous pneumothorax and pleural effusion: a case report. International Journal of Advances in Medicine. 2025 Jun; 12(3): 311-314en_US
dc.identifier.issn2349-3925
dc.identifier.issn2349-3933
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/248364
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume12en_US
dc.source.urihttps://doi.org/10.18203/2349-3933.ijam20251082en_US
dc.subjectCOVID-19en_US
dc.subjectPneumothoraxen_US
dc.subjectSARS-COV-2en_US
dc.subjectPleural effusionen_US
dc.titleAtypical presentation of COVID-19 in a patient with spontaneous pneumothorax and pleural effusion: a case reporten_US
dc.typeJournal Articleen_US
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