Outcome and follow-up
On her 10th day of admission, her skin showed marked improvement but she developed productive cough and exacerbation of dyspnea. Follow-up CT scan showed bilateral peripheral and peribronchovascular ground glass opacity and interlobular septal thickening (acute crazy paving pattern) predominantly in lower lobes in favor of COVID-19 infection. Further PCR was positive for COVID-19.
She was immediately transferred to COVID-19 special ward where she received dexamethasone 6mg/daily and subcutaneous interferon beta-1a for five days. After 17 days of intensive care in COVID-19 ward, she showed marked improvement and discharged to home quarantine after 27 days of total hospitalization. Unfortunately, she died of DVT and PE one month later.