id author title date pages extension mime words sentences flesch summary cache txt cord-305073-8301zqj9 Alhakeem, Ayat Case Report: COVID-19–Associated Bilateral Spontaneous Pneumothorax—A Literature Review 2020-07-14 .txt text/plain 1390 103 44 We report a case of COVID-19 pneumonia with bilateral spontaneous pneumothorax with no known underlying lung disease or risk factors. Most of the reported cases of pneumothorax associated with COVID-19 lack traditional risk factors or underlying predisposing lung disease. Highresolution computed tomography (CT) chest showed multiple bilateral bullae in the lungs complicated by the pneumothorax because of rupture ( Figure 1D ). The bullous changes could represent an undiagnosed underlying pulmonary disease, which became apparent after the inflammatory changes and excessive mechanical forces introduced by the SARS-CoV-2 infection, leading to a unilateral spontaneous pneumothorax, followed by bilateral pneumothorax. Review of the literature shows 18 case reports describing COVID-19 patients with spontaneous pneumothorax. Diagnosis and treatment of severe COVID-19 complicated with spontaneous pneumothorax: a case report Spontaneous pneumothorax and subcutaneous emphysema in COVID-19 patient: case report Spontaneous pneumomediastinum in a patient with coronavirus disease 2019 pneumonia and the possible underlying mechanism ./cache/cord-305073-8301zqj9.txt ./txt/cord-305073-8301zqj9.txt