A rare case of spontaneous combined hydropneumothorax in a case of severe COVID pneumonia

The combined spontaneous hydropneumothorax in a healthy young female of COVID-19 is relatively rare in the absence of ventilator-induced barotrauma and associated with typical COVID-related coagulopathy and inflammation. Here, we present the case of a 32-year-old COVID-19-positive female who developed sudden breathlessness and tachycardia. On clinical evaluation and imaging studies, she was found to have hydropneumothorax along with high D-dimer levels. Although the exact cause for this complication is not known, the COVID-19-related coagulopathy and inflammatory response are the likely cause. Monitoring D-dimer levels and early intervention by putting intercostal drain can be life-saving.

Hemorrhagic thyroid nodule causing shifted airway

Sudden rapidly increased neck swelling due to spontaneous intranodular bleeding of the thyroid gland is rare occurrence but can be considered. Here, we report an extremely rare case of spontaneous rupture intrathyroidal nodule in a healthy young female who had no history of neck swelling, thyroid disease or neck trauma. She was closely observed and treated conservatively as there was no compromised airway. She was discharged well after completed intravenous antibiotic. Bangladesh Journal of Medical Science Vol.20(3) 2021 p.678-681

Multiple Bluish Nodules in a 20-Year-Old Female with Similar Lesions in Her Father

Glomuvenous malformations are congenital, benign, vascular malformations classified as subtypes of glomus tumors with predominant blood vessels, usually present at birth or childhood with multiple, bluish, soft papules and nodules or plaque-like cutaneous lesions. Later present with pronounced segmental lesions, superimposed on the primary lesions, suggesting type 2 segmental mosaicism. We present a rare case of familial glomuvenous malformations, a healthy young female presented with multiple bluish papules since birth which later developed dissemination later in her adolescence. Moreover, her father also had similar skin lesions on his left lower back.