To the best of our knowledge,there is no case report or data published regarding COVID pneumonitis presenting initially as pneumothorax.There are 3 case reports published to-date (30/5/2020) reporting secondary pneumothorax as complication in later stages of Acute respiratory distress syndrome (ARDS) secondary to COVID-19 in non-ventilated patients. We present here a case of COVID-19 disease presenting as tension pneumothorax after a week of symptoms and developing a second pneumothorax on other side post mechanical ventilation.