case_images: PMC10129419_01
case_images: Chest x-ray obtained during the emergency department visit 2. No acute cardiopulmonary process found.
case_images: CRIID2023-2273954.001.jpg
case_images: PMC10129419_01_CRIID2023-2273954.001.jpg
case_images: fig1
case_images: COVID-19 antibodies IgG and IgM. CXR showed no acute pulmonary findings (Figure 1).
case_images: (a-d): Computed tomography angiograms depicting extensive fulminant multifocal bacterial pneumonia with small-moderate bilateral pleural effusions (note the normal appearance of contrast mixing with unopacified inflowing blood in the superior vena cava).
case_images: CRIID2023-2273954.002.jpg
case_images: PMC10129419_01_CRIID2023-2273954.002.jpg
case_images: fig2
case_images: Computed tomography angiogram (CTA) chest excluded pulmonary embolism, but the imaging was evident of multifocal lower lobe opacities with a rapid onset consolidative pattern concerning for fulminant multifocal bacterial pneumonia superimposed on COVID-19 pneumonia (Figures 2(a)-2(d)).