This case report describes a 60 year-old Black-American male with a past medical history of human immunodeficiency virus (HIV) infection and hyperthyroidism, who suffered a bilateral spontaneous pneumothorax (SP) in the setting of coronavirus disease 2019 (COVID-19) pneumonia. SP is a well-established complication in HIV-positive patients and only recently has been associated with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. While HIV and COVID-19 infections have been independently linked with increased risk of SP development, it is unknown if both infections interact in a synergistic fashion to exacerbate SP risk. According to the Centers for Disease Control and Prevention (CDC), patients living with HIV have a higher risk of developing severe COVID-19 infection and the mechanism remains to be elucidated. To the best of our knowledge, this is the first report of a HIV-positive patient, who in the setting of SARS-CoV-2 infection, developed bilateral apical spontaneous pneumothorax and was later found to have a left lower lobe tension pneumothorax. This case highlights the importance of considering SP on the differential diagnosis when HIV-positive patients suddenly develop respiratory distress in the setting of SARS-CoV-2 infection.
【저자키워드】 COVID-19, SARS-CoV-2, HIV/AIDS, tension pneumothorax, Spontaneous pneumothorax, bilateral pneumothorax, HAART, 【초록키워드】 coronavirus disease, HIV, Pneumonia, knowledge, SARS-COV-2 infection, Infection, risk, prevention, Case report, COVID-19 infection, CDC, male, Patient, Control, Human immunodeficiency virus, differential diagnosis, mechanism, Coronavirus-2, distress, Severe COVID-19 Infection, acute respiratory syndrome, higher risk, increased risk, center, past medical history, while, synergistic fashion, tension, highlight, left lower lobe, develop, suffered, with HIV, exacerbate, 【제목키워드】 Pneumothorax, report, Spontaneous, Bilateral,