Post COVID-19 Complication Presented as Billateral Lung Cavitations- Case Report

Siljanovski, Nikola; Dokikj, Dejan; Siljanovska, Mimi; Pejkovska, Sava; Karkinski, Dimitar; Arsovski, Zoran

Post COVID-19 Complication Presented as Billateral Lung Cavitations- Case Report

Journal

Macedonian Journal of Anaesthesia

Date Issued

2021-06

Author(s)

Siljanovski, Nikola

Abstract

Lung cavitation can occur as a complication in post COVID-19 infection. We present a medical case of a lung cavitation accompanied with aeroliquid formation, as a complication of COVID-19 infection. A 49 year-old man, with active, home-threated COVID-19 infection, PCR confirmed, was primary presented with cough, expectoration of white sputum, high temperature, muscle cramps, malaise.17 days after the diagnosed COVID-19 infection, the patient has requested medical care due to cough and hemoptysis. Computed tomography (CT) scan of the thorax was performed and was detected a massive right sided pneumothorax with a shift of the mediastinal structures to the left side, that underlined to a drainage treatment. The repeatedly hemoptysis along with chest pain, indicated a repetition of the CT scan of the thorax with a contrast series in which was detected a reexpansion of the right lung with an aeroliquid collection in the postero-basal segment of the right lung and a pneumatocele with a ticked wall was detected, in the superior segment of the left lower lobe. With echosonography control, a punctate sample was taken from the aeroliquid formation, with a bloody content, that was sent for microbiological analysis and proofed to be sterile. A thoracic surgeon was consulted, and was indicated surgical treatment.

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