case_images: PMC10877068_01
case_images: The unenhanced computed tomography (CT) scan that was taken three days before admission at another hospital. The CT scan showed multiple patchy ground glass opacity in the subpleural area of both lungs and consolidation and air bronchogram sign on the left upper lobe of the lung
case_images: cureus-0016-00000052641-i01.jpg
case_images: PMC10877068_01_cureus-0016-00000052641-i01.jpg
case_images: FIG1
case_images: The polymerase chain reaction (PCR) test was positive for SARS-CoV-2, so he was diagnosed with COVID-19 and treated in the ICU (Figure 1).
case_images: Follow-up unenhanced CT on day 10. The CT scan showed an increase in ground glass opacity density in both lungs. CT: computed tomography
case_images: cureus-0016-00000052641-i02.jpg
case_images: PMC10877068_01_cureus-0016-00000052641-i02.jpg
case_images: FIG2
case_images: A rapid increase in the D-dimer was observed from hospital day 9, and a rapid decrease in the partial pressure of oxygen (PaO2)/fraction of inspired oxygen (FiO2) ratio was observed on hospital day 10, so CT imaging was performed again, which showed an exacerbation of bilateral slit-glass shadows, and lung protective management was initiated as acute respiratory distress syndrome (ARDS) (Figure 2). 