MARC details
| 000 -LEADER |
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| fixed length control field |
04538nam a22003977a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
211101s20212021 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2000-9666 |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
34567472 |
| 245 ## - TITLE STATEMENT |
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| Title |
Epidural pneumorrhachis in COVID-19: a rare clinical entity. |
| 251 ## - Source |
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| Source |
Journal of Community Hospital Internal Medicine Perspectives. 11(5):719-721, 2021. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Community Hosp Intern Med Perspect. 11(5):719-721, 2021. |
| 253 ## - Journal Name |
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| Journal name |
Journal of community hospital internal medicine perspectives |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Manufacturer |
FY2022 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
epublish |
| 266 ## - Date added to catalog |
|---|
| Date added to catalog |
2021-11-01 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Pneumorrhachis is an extremely rare clinical entity, involving air entrapment within the spinal canal. We present a unique case of epidural pneumorrhachis accompanying pneumomediastinum and pneumopericardium, in the setting of COVID-19 infection in a 62-year-old woman. Diagnostic testing was remarkable for elevated inflammatory markers, along with mild transaminitis and hyponatremia. CT scan of the chest revealed extensive patchy ground-glass opacities, with no evidence of pulmonary embolism. Intravenous antibiotics and steroids were initiated for management of advanced multifocal bilateral COVID-19 pneumonia. Her hospital course was complicated by rapidly worsening hypoxia accompanied by worsening inflammatory markers. Repeat chest CT showed worsening multifocal opacities, extensive pneumomediastinum, pneumopericardium, and subcutaneous emphysema extending into the lower neck soft tissues, posterior mediastinum, and supraclavicular regions. Neck CT confirmed diffuse subcutaneous emphysema from the mediastinum extending into the retropharyngeal space, neck, and anterior chest wall. Right-sided epidural air in the spinal canal spanning C6-T1 was also noted. She was evaluated by neurosurgery, continued on antibiotics for the epidural air, and transferred to the ICU for frequent monitoring of respiratory and neurological status, which remained stable. Although pneumorrhachis is an extremely rare clinical manifestation, prompt recognition can lead to appropriate early interventions and improved patient outcomes. Copyright (c) 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center. |
| 546 ## - LANGUAGE NOTE |
|---|
| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Medical Group |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Union Memorial Hospital |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Internal Medicine Residency |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Case Reports |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Aughenbaugh, Michael |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Chittal, Abhinandan |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Haas, Christopher J |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Lakra, Pallavi |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Rao, Shiavax |
| 790 ## - Authors |
|---|
| All authors |
Aughenbaugh M, Chittal AR, Haas CJ, Lakra P, Rao SJ |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| DOI |
<a href="https://dx.doi.org/10.1080/20009666.2021.1961993">https://dx.doi.org/10.1080/20009666.2021.1961993</a> |
| Public note |
https://dx.doi.org/10.1080/20009666.2021.1961993 |
| 858 ## - ORCID |
|---|
| ORCID text |
Chittal, Abhinandan R |
| -- |
Lakra, Pallavi |
| -- |
Rao, Shiavax J |
| Orcid |
<a href="https://orcid.org/0000-0003-3748-2886">https://orcid.org/0000-0003-3748-2886</a> |
| -- |
<a href="https://orcid.org/0000-0002-3848-7323">https://orcid.org/0000-0002-3848-7323</a> |
| -- |
<a href="https://orcid.org/0000-0002-7724-2089">https://orcid.org/0000-0002-7724-2089</a> |
| Name |
https://orcid.org/0000-0003-3748-2886 |
| -- |
https://orcid.org/0000-0002-3848-7323 |
| -- |
https://orcid.org/0000-0002-7724-2089 |
| -- |
https://orcid.org/0000-0003-3748-2886 |
| -- |
https://orcid.org/0000-0002-3848-7323 |
| -- |
https://orcid.org/0000-0002-7724-2089 |
| -- |
https://orcid.org/0000-0003-3748-2886 |
| -- |
https://orcid.org/0000-0002-3848-7323 |
| -- |
https://orcid.org/0000-0002-7724-2089 |
| 858 ## - ORCID |
|---|
| ORCID text |
Chittal, Abhinandan R |
| -- |
Lakra, Pallavi |
| -- |
Rao, Shiavax J |
| Orcid |
<a href="https://orcid.org/0000-0003-3748-2886">https://orcid.org/0000-0003-3748-2886</a> |
| -- |
<a href="https://orcid.org/0000-0002-3848-7323">https://orcid.org/0000-0002-3848-7323</a> |
| -- |
<a href="https://orcid.org/0000-0002-7724-2089">https://orcid.org/0000-0002-7724-2089</a> |
| Name |
https://orcid.org/0000-0003-3748-2886 |
| -- |
https://orcid.org/0000-0002-3848-7323 |
| -- |
https://orcid.org/0000-0002-7724-2089 |
| -- |
https://orcid.org/0000-0003-3748-2886 |
| -- |
https://orcid.org/0000-0002-3848-7323 |
| -- |
https://orcid.org/0000-0002-7724-2089 |
| -- |
https://orcid.org/0000-0003-3748-2886 |
| -- |
https://orcid.org/0000-0002-3848-7323 |
| -- |
https://orcid.org/0000-0002-7724-2089 |
| 858 ## - ORCID |
|---|
| ORCID text |
Chittal, Abhinandan R |
| -- |
Lakra, Pallavi |
| -- |
Rao, Shiavax J |
| Orcid |
<a href="https://orcid.org/0000-0003-3748-2886">https://orcid.org/0000-0003-3748-2886</a> |
| -- |
<a href="https://orcid.org/0000-0002-3848-7323">https://orcid.org/0000-0002-3848-7323</a> |
| -- |
<a href="https://orcid.org/0000-0002-7724-2089">https://orcid.org/0000-0002-7724-2089</a> |
| Name |
https://orcid.org/0000-0003-3748-2886 |
| -- |
https://orcid.org/0000-0002-3848-7323 |
| -- |
https://orcid.org/0000-0002-7724-2089 |
| -- |
https://orcid.org/0000-0003-3748-2886 |
| -- |
https://orcid.org/0000-0002-3848-7323 |
| -- |
https://orcid.org/0000-0002-7724-2089 |
| -- |
https://orcid.org/0000-0003-3748-2886 |
| -- |
https://orcid.org/0000-0002-3848-7323 |
| -- |
https://orcid.org/0000-0002-7724-2089 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
