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Cavitary lung lesions and pneumothorax in a healthy patient with active coronavirus-19 (COVID-19) viral pneumonia
Authors:Amin Afrazi  Sylvana Garcia-Rodriguez  James D Maloney  Clinton T Morgan
Affiliation:1. Division of Cardiothoracic Surgery, University of Wisconsin, Madison, WI, USA;2. Radius Medical Image Analysis Laboratory, Department of Radiology, University of Wisconsin, Madison, WI, USA
Abstract:Severe respiratory sequelae drive morbidity-associated with coronavirus 2019 (COVID-19) disease. We report a case of COVID-19 pneumonia complicated by cavitary lesions and pneumothorax in a young healthy male. Pneumothorax management with catheter thoracostomy and rapid resolution of the cavitary lesions are described. An extensive work-up for other causes a cavitation was negative and the temporal correlation of the cavities with COVID-19 infection plus their rapid resolution suggest a direct relationship. We propose a mechanism for cavitation secondary to microangiopathy, a cause of cavitation in the vasculitides and a known feature of COVID-19.
Keywords:Coronavirus   Covid-19   Cavitary
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