Spontaneous pneumothorax, which can cause severe respiratory distress or even death, occurs due to underlying lung pathologies. The frequency of spontaneous pneumothorax in patients followed up with Covid-19 during the pandemic period is unknown. In order to contribute to the literature, we talked about the situation and treatment of spontaneous pneumothorax in a patient who was followed up with spontaneous breathing due to Covid-19. A 63-year-old male patient was admitted to the intensive care unit due to severe respiratory distress. There was a groundglass image on the chest radiograph taken during admission to the intensive care unit, but there were no bullae and pneumothorax. Reservoir mask and high flow nasal oxygen were applied to the patient who was not applied noninvasive CPAP, respectively. On the 5th day of the intensive care follow-up, the patient developed sudden respiratory distress and the patient was diagnosed with pneumothorax by chest radiography. Underwater drainage chest tube was applied to the patient. The chest tube was removed 5 days after insertion. On the 14th day of his admission to the intensive care unit, the patient was transferred to the service without any complications. The patient was discharged after 5 days of follow-up in the service without any problem. When the case series in the literature are examined, it is thought that the probability of developing pneumothorax in Covid-19 patients is around 1%. Although it is rarely seen, rapid evaluation should be made in terms of spontaneous pneumothorax in the sudden respiratory distress that occurs in patients who are followed due to Covid-19.