id author title date pages extension mime words sentences flesch summary cache txt cord-307477-yddx2585 Kolani, Sylvie Spontaneous pneumomediastinum occurring in the SARS-COV-2 infection 2020-05-11 .txt text/plain 1538 98 42 We present a case of spontaneous pneumomediastinum (SPM) in COVID-19 pneumonia and discuss the possible mechanism explaining this association. DionĂ­sio et al, found that precipitating factors for a spontaneous pneumomediastinum present in 86.7% of cases, including coughing bouts, excessive tobacco use, inhalation of other drugs and varnishes, strenuous physical activity and emesis. Therefore, the damage of alveolar membrane in coronavirus infections can be one of the mechanism leading to alveolar rupture thus the occurrence of spontaneous pneumomediastinum. At our knowledge, two cases of spontaneous pneumomediastinum in COVID-19 patients have been reported. His chest CT revealed parenchymal abnormalities compatible with the evolution of the COVID-19 pneumonia but also a pneumomediastinum and subcutaneous emphysema. Our patient has no precipitating or predisposing factors of spontaneous pneumomediastinum and presented no symptoms. Spontaneous pneumomediastinum is not a common presentation in the COVID-19 infection and can potentially be an aggravating factor in the management of the COVID-19 pneumonia. Spontaneous pneumomediastinum, pneumothorax, and subcutaneous emphysema Complicating H1N1 Virus Infection ./cache/cord-307477-yddx2585.txt ./txt/cord-307477-yddx2585.txt