Epidural pneumorrhachis in COVID-19: a rare clinical entity.
Citation: Journal of Community Hospital Internal Medicine Perspectives. 11(5):719-721, 2021.PMID: 34567472Institution: MedStar Medical Group | MedStar Union Memorial HospitalDepartment: Internal Medicine ResidencyForm of publication: Journal ArticleMedline article type(s): Case ReportsSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2021ISSN:- 2000-9666
- Chittal, Abhinandan R Lakra, Pallavi Rao, Shiavax J:
- 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 Chittal, Abhinandan R Lakra, Pallavi Rao, Shiavax J:
- 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 Chittal, Abhinandan R Lakra, Pallavi Rao, Shiavax J:
- 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
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 34567472 | Available | 34567472 |
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.
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