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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="emergency-medicine-and-critical-care" lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher">JOHS</journal-id>
      <journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
      <journal-title-group>
        <journal-title>Journal of HealthCare Sciences</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2231-2196</issn>
      <issn pub-type="opub">0975-5241</issn>
      <publisher>
        <publisher-name>Radiance Research Academy</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">104</article-id>
      <article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2022.21107</article-id>
      <article-id pub-id-type="doi-url"/>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Emergency Medicine and Critical Care</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>COVID-19 Patients with Tension Pneumothorax: Four Case Reports&#13;
</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Alsulaim</surname>
            <given-names>Lamees</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Sobh</surname>
            <given-names>Osamah</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alodhaybi</surname>
            <given-names>Ghadah</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>AlQarawi</surname>
            <given-names>Leenah</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alhabib</surname>
            <given-names>Renda</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>AlMarzoogi</surname>
            <given-names>Deema</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Almutairi</surname>
            <given-names>Rawan</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>AlMansour</surname>
            <given-names>Beshair</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Elmaghrabi</surname>
            <given-names>Marwa</given-names>
          </name>
        </contrib>
      </contrib-group>
      <pub-date pub-type="ppub">
        <day>15</day>
        <month>11</month>
        <year>2022</year>
      </pub-date>
      <volume>2</volume>
      <issue>11</issue>
      <fpage>377</fpage>
      <lpage>381</lpage>
      <permissions>
        <copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
        <copyright-year>2009</copyright-year>
        <license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>Severe acute respiratory syndrome Corona virus 2 (SARS-CoV 2) was initially identified in December 2019 in Wuhan, China. The coronavirus disease (COVID-19) spread rapidly worldwide to become a global pandemic. Patients infected with this virus presented with fever, cough, shortness of breath, diarrhea, abdominal discomfort, and myalgia. Radiological examination of those patients revealed numerous findings like consolidation, ground glass opacity and can lead to lung collapse. Other uncommon features are presented such as pneumomediastinum, pneumothorax and lung cavity. Pneumothorax was one of the fatal complications mentioned in the literature as it increased the mortality of COVID-19 patients. We report four cases presented to the intensive care unit (ICU) with severe pneumonia complicated during the admission by pneumothorax, which mandated intervention by chest tube to stabilize the patient__ampersandsign#39;s condition. There were differences in age, sex, the treatment protocol used and the timing of the development of the pneumothorax. Pneumothorax should be kept in mind in patients admitted with pneumonia secondary to COVID-19, as it causes acute deterioration of the patient and needs urgent intervention.&#13;
</p>
      </abstract>
      <kwd-group>
        <kwd>Bullae</kwd>
        <kwd> COVID-19</kwd>
        <kwd> SARS</kwd>
        <kwd> pneumothorax</kwd>
        <kwd> pneumonia</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>