Emergency Medicine

CT thorax of a patient with confirmed COVID-19 sent to me by colleague from a widely affected country with no access to Figure 1, to help by sharing and discussing the findings. The patient in mid 50s has been otherwise well, CT images obtained 20 days earlier do not demonstrate any pulmonic infiltrates, however there is extensive involvement in current imaging. The patient has the clinical presentation of a case of severe chest sepsis. Knowing what we know thus far, what are your observations and strategies for supportive treatment? [ECMO not available]