28M previously fit and well, not on any regular medications, | Figure 1

28M previously fit and well, not on any regular medications, presented with a 6 day Hx of fever, non-productive cough and SOB for the last 4 days. His symptoms started as sore throat and coryzal symptoms 8 days prior to his presentation and he reported contact with a friend with similar symptomatology.

O/E T39.1 HR87 BP119/63 RR38 SpO2 90% on RA. Bilateral nasal crepitations without a wheeze.

Image 1 - CXR on admission

Image 2 - haematology, biochemistry on admission and serial gases

Image 3 - CXR post intubation in the critical care setting

Image 4 - the reason for this unfortunate young man requiring critical care.

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