Unusual presentations post COVID-19 are increasingly becoming evident. Spontaneous pneumothorax is a rare presentation in patients post COVID-19. In this case we document a 58 year old male, non-smoker and without any pre-existing medical condition who recovered from COVID-19 about three years ago, he presented with spontaneous pneumothorax three years later after being treated for COVID 19 infection. An initial conservative management with chest tube drain was unsuccessful and surgically was successfully treated. Thus; it is imperative to follow up all cases of COVID-19 after recovery so that, early detection of complications is made that would reduce associated morbidity and mortality
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