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Incidental Finding of Mediastinal Mass in A Patient with A Confirmed Diagnosis of Moderate to Severe COVID-19: Case Report

Positive airway pressure ventilation systems are a therapeutic option in patients with confirmed SARS-CoV2 infection, who meet both clinical and biochemical criteria to be classified as moderate to severe cases, in order to avoid and / or delay progression to acute ventilatory failure. However, its success largely depends on a correct selection of the clinical setting. We present the case of a patient taken to non-invasive mechanical ventilation with slow positive end-expiratory pressure (PEEP) titration indicated in the event of persistent tachypnea despite correcting hypoxemia with conventional oxygen therapy, subsequently documenting a large mass in the anterior mediastinum, unknown to date. The patient had a favorable evolution from the clinical point of view. At the end, the eligibility criteria for considering the use of noninvasive mechanical ventilation in patients with COVID-19 will be discussed in a concise manner.