Platypnoea-orthodeoxia syndrome in an older patient with COVID-19 pneumonia and orthostatic hypotension—a case of prolonged hospital admission | Zendy

Muhammad Azam Ismail | Zendy; Katie Trevest | Zendy

Open Access

Platypnoea-orthodeoxia syndrome in an older patient with COVID-19 pneumonia and orthostatic hypotension—a case of prolonged hospital admission

Author(s) -

Muhammad Azam Ismail,

Katie Trevest

Publication year - 2021

Publication title -

age and ageing

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.014

H-Index - 143

eISSN - 1468-2834

pISSN - 0002-0729

DOI - 10.1093/ageing/afab166

Subject(s) - medicine , orthostatic vital signs , pneumonia , malaise , covid-19 , oxygen therapy , delirium , intensive care medicine , pediatrics , anesthesia , emergency medicine , blood pressure , disease , infectious disease (medical specialty)

An 89-year-old woman was admitted to hospital with a fall, general malaise and low oxygen saturations. She tested positive for SARS-CoV-2 and commenced on standard therapy for COVID-19 pneumonia. She improved initially but reported ongoing dyspnoea exacerbated by position. Following investigations to rule out other causes, she was given a diagnosis of platypnoea-orthodeoxia syndrome (POS). She was treated with gradual verticalization therapy with supplemental oxygen and subsequently discharged to an intermediate care bed (ICB).

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