Coronavirus disease 2019 (COVID-19) has become a global pandemic and is posing a serious public health problem for almost all countries. Spontaneous pneumomediastinum, a rare condition, is usually seen in patients with underlying pulmonary pathology, infections, or mechanical ventilation. Spontaneous pneumomediastinum is a rare complication in COVID-19 pneumonia. We report a case of spontaneous pneumomediastinum, pneumopericardium, and subcutaneous emphysema in a 62-year-old diabetic patient with COVID-19 infection who presented with cough, fever, and breathlessness, which turned to be a fatal complication. Pneumomediastinum/subcutaneous emphysema, a not so common complication associated with COVID-19 infection, should be considered as a bad prognostic indicator of worsening disease and hence requires early recognition and careful monitoring of the patient for any possible unfavorable outcome.

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纵隔气肿、心包积气和皮下气肿——一种罕见的 COVID-19 感染并发症

2019 年冠状病毒病 (COVID-19) 已成为全球大流行病，对几乎所有国家都构成严重的公共卫生问题。自发性纵隔气肿是一种罕见的疾病，通常见于有潜在肺部病变、感染或机械通气的患者。自发性纵隔气肿是 COVID-19 肺炎的罕见并发症。我们报告了一例自发性纵隔气肿、心包积气和皮下气肿的病例，该患者患有 COVID-19 感染的 62 岁糖尿病患者，该患者表现为咳嗽、发烧和呼吸困难，后来成为致命的并发症。纵隔气肿/皮下气肿，一种与 COVID-19 感染相关的不太常见的并发症，