Platypnea-orthodeoxia in a patient with severe COVID-19 pneumonia

  • Komal Singh | komalltmmc2010@gmail.com Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Harshit Kadnur Department of Medicine, All India Institute of Medical Sciences, New Delhi, India. https://orcid.org/0000-0003-0617-1241
  • Animesh Ray Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Puneet Khanna Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
  • Akhil Singh Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
  • Naveet Wig Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Anjan Trikha Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.

Abstract

COVID-19 pneumonia has a significant case fatality rate and no effective antiviral drugs are available even after 9 months of the pandemic. The spectrum of COVID-19 disease ranges from asymptomatic cases to severe ARDS with myriad manifestations. Here we report a case of a male patient with severe COVID-19 ARDS who improved after receiving standard therapy but again ‘deteriorated’ after being stepped down to ward. He complained of worsening shortness of breath and hypoxemia which was found to be mainly positional. After ruling out other causes, he was labeled as a case of platypnea-orthodeoxia syndrome due to underlying lung involvement.  It is important to be aware of this condition in the context of COVID-19 which can be easily diagnosed bedside with pulse oximetry

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2020-12-23
Info
Issue
Section
COVID-19 - Collection of articles on the Coronavirus outbreak
Keywords:
Platypnea orthodeoxia Syndrome, POS, COVID-19 Pneumonia
Statistics
  • Abstract views: 189

  • PDF: 135
How to Cite
Singh, K., Kadnur, H., Ray, A., Khanna, P., Singh, A., Wig, N., & Trikha, A. (2020). Platypnea-orthodeoxia in a patient with severe COVID-19 pneumonia. Monaldi Archives for Chest Disease, 90(4). https://doi.org/10.4081/monaldi.2020.1609