A 46 year old male patient presented with worsening shortness of breath, productive cough, and mild central chest pain two weeks post positive polymerase chain reaction (PCR) test results for COVID-19 infection. Computed Tomography imaging revealed evidence of COVID-19 pneumonitis complicated by spontaneous pneumomediastinum (SPM). This patient was commenced on standard treatment for COVID-19 pneumonitis, whilst the SPM was managed conservatively. Unfortunately, the treatment plan was complicated further by steroid induced psychosis and hence dexamethasone was stopped prematurely. Despite this setback the patient made good recovery and was discharged home after 6 days.
Rhiannon Worrall*, M. Marathe and S. Chand