{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T09:15:15Z","timestamp":1764494115188},"reference-count":9,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T00:00:00Z","timestamp":1599523200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2. It typically presents with respiratory symptoms such as fevers, cough, and shortness of breath. As the number of cases increases, however, COVID-19 is being increasingly recognized as being associated with a variety of other respiratory pathologies. \n\nCase Report: We present the case of a 59-year-old man with COVID-19 pneumonia who acutely decompensated after having been on the medicine floor for two weeks. He was found to have a tension pneumothorax. This was treated with a needle decompression followed by a chest tube insertion. The patient subsequently recovered and was discharged. \n\nConclusion: This case highlights the importance of considering tension pneumothorax as a possible cause of shortness of breath in patients with COVID-19 pneumonia.<\/jats:p>","DOI":"10.5811\/cpcem.2020.8.49139","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T18:29:28Z","timestamp":1605637768000},"page":"521-523","source":"Crossref","is-referenced-by-count":3,"title":["Spontaneous Pneumothorax as a Complication of COVID-19 Pneumonia: A Case Report"],"prefix":"10.5811","volume":"4","author":[{"given":"Leland","family":"Perice","sequence":"first","affiliation":[{"name":"North Shore University Hospital \u2013 Northwell Health, Department of Emergency Medicine, Manhasset, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhanna","family":"Roit","sequence":"additional","affiliation":[{"name":"North Shore University Hospital \u2013 Northwell Health, Department of Emergency Medicine, Manhasset, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Llovera","sequence":"additional","affiliation":[{"name":"North Shore University Hospital \u2013 Northwell Health, Department of Emergency Medicine, Manhasset, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Flanagan-Kundle","sequence":"additional","affiliation":[{"name":"Touro College School of Health Sciences, Physician Assistant Program, Bay Shore, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,9,8]]},"reference":[{"key":"ref0","unstructured":"Centers for Disease Control and Prevention. Provisional death counts for coronavirus disease 2019 (COVID-19). 2020. Available at: https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/covid19\/index.htm. Accessed July 17, 2020."},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N\u00a0Engl\u00a0J Med. 2020;382:1708-20.","DOI":"10.1056\/NEJMoa2002032"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Shi H, Han X, Jiang N, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis. 2020;20(4):425-34.","DOI":"10.1016\/s1473-3099(20)30086-4"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Bobbio A, Dechartres A, Bouam S, et al. Epidemiology of spontaneous pneumothorax: gender-related differences. Thorax. 2015;70(7):653-8.","DOI":"10.1136\/thoraxjnl-2014-206577"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Flower L, Carter JPL, Rosales Lopez J, et al. Tension pneumothorax in a patient with COVID-19. BMJ Case Rep. 2020;13(5):e235861.","DOI":"10.1136\/bcr-2020-235861"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Spiro JE, Sisovic S, Ockert B, et al. Secondary tension pneumothorax in a COVID-19 pneumonia patient: a case report. Infection. 2020. In press.","DOI":"10.1007\/s15010-020-01457-w"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Sun R, Liu H, Wang X. Mediastinal emphysema, giant bulla, and pneumothorax developed during the course of COVID-19 Pneumonia. Korean J Radiol. 2020;21(5):541-4.","DOI":"10.3348\/kjr.2020.0180"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Marini JJ and Gattinoni L. Management of COVID-19 respiratory distress. JAMA. 2020;323(22):2329-30.","DOI":"10.1001\/jama.2020.6825"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Poston JT, Patel BK, Davis AM. Management of critically ill adults with COVID-19.\u00a0JAMA.\u00a02020. In press.","DOI":"10.1001\/jama.2020.4914"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T21:01:57Z","timestamp":1605819717000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/96k1x40c"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,8]]},"references-count":9,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,11,10]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.8.49139","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2020,9,8]]}}}