The covid-19 disease (coronavirus disease 2019) is a novel disease causing a world pandemic . Its presentation varies from an asymptomatic infection to a pneumonia with acute respiratory distress syndrome . We present a case presenting initially as a covid-19 pneumonia together with a disseminated intravascular coagulopathy consisting of arterial and venous thrombosis in different locations and a shock requiring admission in the intensive care unit . The abnormal coagulation test in covid-19 patients have been described since the first cases observed in Wuhan, China, as well as an increased incidence of venous thrombosis . On the contrary, a higher incidence of arterial thrombosis has not been described in these patients . The unusual case we present could be a manifestation of this altered tests.