Fig. 12.

A 3-year-old girl with a previous history of polyartrhitis treated with methotrexate and prednisone who presented with fever and dyspnoea. An axial chest CT show areas of ground glass opacity in the upper lobes and middle lobe (white arrow), with confluent peribronchial consolidations (in keeping with the known COVID-19 histological association with diffuse alveolar damage), mostly in the lower lobes (black arrow), and mild bilateral pleural effusion. Despite resuscitation, this patient died