Introduction: COVID-19 is a highly infectious respiratory disease caused by Severe Acute Respiratory Syndrome - Coronavirus - 2 (SARS-COV2). Starting from Wuhan (China) where it was firstly reported, it rapidly spread to the rest of the world, causing a pandemic with more than 300.000 deaths to date. Case presentation: we report an extremely severe case of coronavirus pneumonia in an over-80 years old patient with hypertension, coronary heart disease, chronic heart failure and chronic obstructive pulmonary disease. Despite several bad anamnestic indicators, the severe clinical conditions and complications that arose during hospitalization, the patient recovered and was discharged. Conclusions: : Although a higher vulnerability of geriatric patients has been observed, the literature on elderly COVID-19 patients have remained very scarce, especially in those over 80. The aim of this paper is to describe an extremely severe case of coronavirus pneumonia in an over-80 years old patient that, despite a clearly poor anamnestic and clinical prognostic forecast was successfully discharged thanks to a careful evaluation of the case and of the complications that have arisen. Several efforts have been made to identify therapeutic strategies and prognostic indicators of COVID-19 but there is still much to learn. With this report, we hope to provide important elements to better understand this disease.
Extremely severe case of COVID-19 pneumonia recovered despite bad prognostic indicators: a didactic report