COVID-19 Patient Associated with Rare Pneumatocele Finding: CT Features and Case Report
Published: 2020-09-17
Page: 120-124
Issue: 2020 - Volume 3 [Issue 1]
Edwin Adhi Darmawan Batubara *
General Practitioner, Navy Hospital Mintohardjo, Jakarta, Indonesia.
Christy Amanda
General Practitioner, Navy Hospital Mintohardjo, Jakarta, Indonesia.
Paralam Sinambela
Department of Radiology, Navy Hospital Mintohardjo, Jakarta, Indonesia.
Ricky Triweda
Department of Cardio-Thoracic Surgeon, Navy Hospital Mintohardjo, Jakarta, Indonesia.
Jerry Indra Setiawan
Department of Pulmonology, Navy Hospital Mintohardjo, Jakarta, Indonesia.
*Author to whom correspondence should be addressed.
Abstract
Background and Aim: Coronavirus disease-2019 (COVID-19) has become pandemic across the world, especially in Indonesia. One of the rare complications reported due to COVID-19 is pulmonary pneumatocele. We aim to describe the COVID-19 patient case report with pneumatocele in CT-Scan findings.
Case Report: A 41-year-old man referred to our hospital with fever, dyspnea and a productive cough for seven days before admission. His chest X-ray and CT-Scan showed possible bilateral bronchopneumonia due to COVID-19 and confirmed with Polymerase Chain Reaction (PCR) test. In the next two weeks, the second CT-Scan showed the development of pneumothorax dextra and pneumatocele dextra with a diameter of 7,8 cm. On the third follow up, CT-Scan revealed increasing diameter into 9,5 cm and air-fluid levels in pneumatocele. He was diagnosed with infected pneumatocele, and we gave antibiotics. The patient recovered after the twenty-third-day post-admission, then discharged from hospital after twice a negative of nasopharynx swab result and resolution of symptoms.
Conclusion: Pneumatocele is one of the rare abnormality findings in COVID-19 patients. If the clinician suspect pneumatocele finding, the progressivity of disease should be monitored due to the possibility of complicated pneumatocele.
Keywords: COVID-19, pneumatocele, CT-scan features, case report.