Family Medicine Resident

55 year old male presented with shortness of breath and progressive cough and fever over several days. He came back from holiday in the western part of Austria 5 days earlier. Medical history showed depression treated with antidepressants. At admission, PaO2 58 mmHg in room air. After 3 days, respiratory failure occurred leading to intubation. Left x-ray: admission Right x-ray: after intubation