We present the case of a 48-year old man, a triathlet, with severe COVID-19 and extensive bilateral pneumonia. On day 7 since onset of symptoms, the patient had fever, cough, rheumatic pain, dyspnea as well as severe hypoxemic respiratory failure (PaO 49,9 mmHg, PaCO 35,7 mmHg, Horovitz-Index 130). CT of the lung showed extensive bilateral ground glass opacities.
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