PMC7608773_01
bilateral ground glass aspect on a chest scanner
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PMC7608773_01_PAMJ-SUPP-35-2-141-g001.jpg
F1
The clinical examination on admission to our intensive care unit found a conscious patient [Glasgow Coma Scale at 15/15], feverish at 39 C, blood pressure at 110/70 mmHg, heart rate at 71 bpm, respiratory rate at 23 cpm, saturation at 86 on room air [96% under 10 L oxygen with non-rebreather] and a glycemia at 0.8 g/l; She was put on treatment: hydroxychloroquine, Corticotherapy, enoxaparin [0.4x2/day], 3rd generation cephalosporin, paracetamol, Vitamine C and zinc sulfate. (Figure 1).
post-intubation chest X-ray
PAMJ-SUPP-35-2-141-g002.jpg
PMC7608773_01_PAMJ-SUPP-35-2-141-g002.jpg
F2
The evolution was marked by the worsening of the respiratory state on Day 2 of hospitalization, the patient was intubated, ventilated, sedated and curarized under controlled assisted ventilation and protective mode [FiO2= 100%, RR = 22, PEEP = 10, Vt = 440ml], put under 1 mg/h of norepinephrine; post-intubation arterial blood gas showed respiratory acidosis and metabolic alkalosis with a ratio of partial pressure of arterial oxygen to the inspired oxygen fraction [P/F ratio] at 95 and a chest X-ray showed multiple alveolar opacities (Figure 2).