Case 3

A 78 year old man living in a retirement home developed what appeared to be flu-like symptoms with sneezing, a dry cough, chills, headaches and malaise.

Seven days later his symptoms worsened and he developed high fever, prostration, a cough productive of a small amount of clear sputum, and shortness of breath.

On admission he was found to be hypoxic and in significant distress.