Conclusion
Spontaneous tension pneumothorax should be included in the differential
diagnosis of COVID-19 infected patients, especially when worsening
symptoms or develop new respiratory symptoms during their hospital
course. The management should be the same as any spontaneous tension
pneumothorax and emergency drainage of mediastinum is lifesaving;
however, an early diagnosis and prompt treatment may help reduce the
higher expected mortality with this approach in complication of COVID19
infection.