Table 1 Summarizing the clinical and laboratory characteristics of patient
From: Giant compressive emphysema: a rare complication of COVID-19
Chronology of the event | Clinical and biological characteristics of the patient |
|---|---|
10th day before his hospitalization | Influenza-like syndrome, febrile context |
2nd day before his hospitalization | Progressively worsening dyspnea and chest pain that are accentuated by coughing and changing position |
On admission | Clinical characteristics: No sign of shock Acute respiratory distress syndrome with pulse oxygen saturation 77% on room air, polypnea at 35 cycles per minute Condensation syndrome of the entire right lung Tympany and auscultatory silence of the left lung |
On admission | Biological characteristics: Hyperleukocytosis: 27 × 103 k/µL, 96% (25 × 103 k/µL) neutrophils, 2% (0.54 × 103 k/µL) lymphocytes Thrombocytosis: 475 × 103 k/UL C-reactive protein: 75 mg/L D-dimer: 2571 ng/mL The nasopharyngeal COVID-19 polymerase chain reaction (PCR): positive HIV serology: negative |
22nd day of hospitalization | Disappearance of signs of respiratory distress Pulse oxygen saturation 94% at 2L/min oxygen Desaturation at the slightest effort |
24th day of hospitalization | Bullectomy surgery, with thoracic drainage |
From the 7th day post-op | Long-term oxygen-dependent, at home |
2 months after surgery | Died of a recurrence severe acute pneumonia |