?:abstract
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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(2) 49,9 mmHg, PaCO(2) 35,7 mmHg, Horovitz-Index 130) CT of the lung showed extensive bilateral ground glass opacities The patient was treated according to a predefined standard, including oxygen supplementation and, after intermittent worsening, with CPAP-ventilation The patient improved and could be discharged with normal blood gases at ambient air after 12 days of hospitalization Six weeks after discharge the patient was fully recovered and lung function as well as CT of the lungs were normal Our case demonstrates that invasive ventilation can successfully be avoided in patients with severe hypoxemia caused by COVID-19 with bilateral pneumonia
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