A 65-year-old diabetic male with non-seasonal asthma treated with inhaled corticosteroids was admitted to the Intensive Care Unit diagnosed with bilateral pneumonia due to COVID-19 and hypoxemic acute respiratory failure with the administration of high-flow nasal oxygen. The physical examination revealed subcutaneous emphysema predominantly located in the right side of the neck; emergency CT with contrast administration was thus requested, revealing important pneumomediastinum mainly in the anterior zone (Fig. 1 ), with no apparent underlying cause; mild apical pneumothorax at the periphery of the left lung (Fig. 2 ); and a ground-glass pattern of bilateral peripheral predominance associated to areas of consolidation and air bronchogram (Fig. 3 ).
Figure 1.
Figure 2.
Figure 3.
Footnotes
Please cite this article as: Vela Colmenero RM, Pola Gallego de Guzmán MD, Molina de la Torre MC. Neumomediastino y neumotórax espontáneo en neumonía bilateral por COVID-19. Med Intensiva. 2020;155:591–592.