Abstract Introduction: Since the end of 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has affected more than 1,000,000 population in the world. Subcutaneous emphysema and pneumothorax are uncommon complications of SARS-CoV-2 pneumonia. Herein, we describe a fatal case of SARS-CoV-2 pneumonia with subcutaneous emphysema and pneumothorax. Patient concerns: Subcutaneous emphysema was found in neck, bilateral chest walls, abdomen wall, groin area, and scrotum of a 67-year-old man. Extensive air-space opacities, subcutaneous emphysema and a small amount of pneumothorax were found in his chest X-ray scan. Echocardiography showed left ventricular enlargement with ejection fraction 20%. Diagnosis: This resident of Wuhan with laboratory-confirmed SARS-CoV-2 infection had chronic pulmonary and cardiac diseases. Liver dysfunction, myocardial injury, and coagulation disorder were suggested by laboratory findings. Pneumonia, subcutaneous emphysema, and pneumothorax were confirmed with chest X-ray. Heart failure was revealed by echocardiography. Interventions: He was transferred to intensive care unit, where invasive ventilation was used for him during the whole hospitalization. Prone position ventilation, vasoconstrictor, antibacteria, and antiviral therapy were given. Outcomes: He died on the twelfth day after admission. Conclusions: Subcutaneous emphysema and pneumothorax may occur in patients with SARS-CoV-2 pneumonia and chronic pulmonary disease. Chronic cardiac disease might be aggravated by SARS-CoV-2 infection, and develop heart failure.
【저자키워드】 SARS-CoV-2, heart failure, Pneumothorax, subcutaneous emphysema, 【초록키워드】 antiviral therapy, coronavirus, Diseases, intensive care, Hospitalization, Pneumonia, prone, SARS-COV-2 infection, Infection, Ventilation, invasive ventilation, Laboratory, echocardiography, myocardial injury, heart, Chest, Wuhan, Complication, chest X-ray, cardiac disease, SARS-CoV-2 pneumonia, Admission, chronic, dysfunction, acute respiratory syndrome, Ejection fraction, chronic pulmonary disease, laboratory-confirmed SARS-CoV-2 infection, emphysema, abdomen, coagulation disorder, affected, was used, develop, died, were given, occur, suggested, Extensive, patients with SARS-CoV-2, transferred, ventricular, 【제목키워드】 Case report, SARS-CoV-2 pneumonia, emphysema,