Case presentation:
An 89-year-old male case attended the emergency department of Arak hospital, Arak, Iran with complaints of weakness, malaise, weight loss, and lethargy. After an initial assessment, physical examination revealed cough, shortness of breath, and oxygen saturation of 80% meanwhile he was breathing ambient air.
He had a history of fever, anorexia, worsening fatigue, muscle, and joint pain 3 months ago.
The patient was hospitalized in the COVID-19 department on account of his cough, dyspnea, and also his nasopharyngeal swab test of SARS-CoV-2 by qualitative real-time reverse-transcriptase- polymerase-chain-reaction (rRT-PCR) assay was positive. His computerized chest tomography (CT) scan showed nodular opacities with glass halo including peripheral distribution (Fig. 1).