One of the rare complications of coronavirus disease-2019 (COVID-19), which can present with different clinical pictures, is pneumothorax. In our case, a patient who did not have predisposing risk factors for pneumothorax such as a history of trauma, smoking, past intubations, asthma, chronic obstructive pulmonary disease, and who developed bilateral spontaneous pneumothorax while under treatment with the diagnosis of COVID-19 is presented. Acute worsening in COVID-19 patients may be due to primary disease or pulmonary embolism. With this case, we emphasize the importance of considering spontaneous pneumothorax in patients with acute clinical deterioration.