Platypnea-orthodeoxia syndrome as a consequence of SARS-CoV-2 pneumonia: an uncommon case of dyspnea

INTRODUCTION: Platypnea-orthodeoxia syndrome (POS) is a rare syndrome characterized by dyspnea and arterial oxyhemoglobin desaturation induced by moving to the upright position and relieved by recumbency. Different pathogenic processes can lead to POS including cardiopulmonary and hepatopulmonary di...

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Main Authors: M. Internullo, B. Marigliano, A. Tavanti, L. Del Vecchio, L. Scuro, P. Romagno, M. Schito, F. Pace, G. Colombo, E. Guglielmelli
Format: Article
Language:English
Published: Verduci Editore 2022-06-01
Series:Infectious Diseases and Tropical Medicine
Subjects:
Online Access:https://www.infectiousjournal.com/wp-content/uploads/sites/6/2022/06/e887.pdf
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author M. Internullo
B. Marigliano
A. Tavanti
L. Del Vecchio
L. Scuro
P. Romagno
M. Schito
F. Pace
G. Colombo
E. Guglielmelli
author_facet M. Internullo
B. Marigliano
A. Tavanti
L. Del Vecchio
L. Scuro
P. Romagno
M. Schito
F. Pace
G. Colombo
E. Guglielmelli
author_sort M. Internullo
collection DOAJ
description INTRODUCTION: Platypnea-orthodeoxia syndrome (POS) is a rare syndrome characterized by dyspnea and arterial oxyhemoglobin desaturation induced by moving to the upright position and relieved by recumbency. Different pathogenic processes can lead to POS including cardiopulmonary and hepatopulmonary disorders. CASE PRESENTATION: We here present an unusual case of POS triggered by a previous severe SARSCoV-2 pneumonia in a 66-year-old man admitted to our Emergency Department with worsening dyspnea and chest pain. CONCLUSIONS: SARS-CoV-2 pneumonia should be considered an emerging cause of POS because of its pulmonary and cardiac/intravascular pathological implications.
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spelling doaj.art-936d4f7576e642cba276d88aff1aaf932023-01-10T10:28:31ZengVerduci EditoreInfectious Diseases and Tropical Medicine2379-40542022-06-01810.32113/idtm_20226_887887Platypnea-orthodeoxia syndrome as a consequence of SARS-CoV-2 pneumonia: an uncommon case of dyspneaM. Internullo0B. Marigliano1A. Tavanti2L. Del Vecchio3L. Scuro4P. Romagno5M. Schito6F. Pace7G. Colombo8E. Guglielmelli9UOC Pronto Soccorso e Medicina d’Urgenza, Azienda Ospedaliera San Camillo - Forlanini, Rome, ItalyUOC Pronto Soccorso e Medicina d’Urgenza, Azienda Ospedaliera San Camillo - Forlanini, Rome, ItalyUOC Pronto Soccorso e Medicina d’Urgenza, Azienda Ospedaliera San Camillo - Forlanini, Rome, ItalyUOC Pronto Soccorso e Medicina d’Urgenza, Azienda Ospedaliera San Camillo - Forlanini, Rome, ItalyUOC Pronto Soccorso e Medicina d’Urgenza, Azienda Ospedaliera San Camillo - Forlanini, Rome, ItalyUOC Pronto Soccorso e Medicina d’Urgenza, Azienda Ospedaliera San Camillo - Forlanini, Rome, ItalyUOC Pronto Soccorso e Medicina d’Urgenza, Azienda Ospedaliera San Camillo - Forlanini, Rome, ItalyUOC Pronto Soccorso e Medicina d’Urgenza, Azienda Ospedaliera San Camillo - Forlanini, Rome, ItalyUOC Pronto Soccorso e Medicina d’Urgenza, Azienda Ospedaliera San Camillo - Forlanini, Rome, ItalyUOC Pronto Soccorso e Medicina d’Urgenza, Azienda Ospedaliera San Camillo - Forlanini, Rome, ItalyINTRODUCTION: Platypnea-orthodeoxia syndrome (POS) is a rare syndrome characterized by dyspnea and arterial oxyhemoglobin desaturation induced by moving to the upright position and relieved by recumbency. Different pathogenic processes can lead to POS including cardiopulmonary and hepatopulmonary disorders. CASE PRESENTATION: We here present an unusual case of POS triggered by a previous severe SARSCoV-2 pneumonia in a 66-year-old man admitted to our Emergency Department with worsening dyspnea and chest pain. CONCLUSIONS: SARS-CoV-2 pneumonia should be considered an emerging cause of POS because of its pulmonary and cardiac/intravascular pathological implications.https://www.infectiousjournal.com/wp-content/uploads/sites/6/2022/06/e887.pdfplatypnea-orthodeoxia syndromesars-cov-2dyspneainterstitial lung diseasepatent foramen ovale (pfo)
spellingShingle M. Internullo
B. Marigliano
A. Tavanti
L. Del Vecchio
L. Scuro
P. Romagno
M. Schito
F. Pace
G. Colombo
E. Guglielmelli
Platypnea-orthodeoxia syndrome as a consequence of SARS-CoV-2 pneumonia: an uncommon case of dyspnea
Infectious Diseases and Tropical Medicine
platypnea-orthodeoxia syndrome
sars-cov-2
dyspnea
interstitial lung disease
patent foramen ovale (pfo)
title Platypnea-orthodeoxia syndrome as a consequence of SARS-CoV-2 pneumonia: an uncommon case of dyspnea
title_full Platypnea-orthodeoxia syndrome as a consequence of SARS-CoV-2 pneumonia: an uncommon case of dyspnea
title_fullStr Platypnea-orthodeoxia syndrome as a consequence of SARS-CoV-2 pneumonia: an uncommon case of dyspnea
title_full_unstemmed Platypnea-orthodeoxia syndrome as a consequence of SARS-CoV-2 pneumonia: an uncommon case of dyspnea
title_short Platypnea-orthodeoxia syndrome as a consequence of SARS-CoV-2 pneumonia: an uncommon case of dyspnea
title_sort platypnea orthodeoxia syndrome as a consequence of sars cov 2 pneumonia an uncommon case of dyspnea
topic platypnea-orthodeoxia syndrome
sars-cov-2
dyspnea
interstitial lung disease
patent foramen ovale (pfo)
url https://www.infectiousjournal.com/wp-content/uploads/sites/6/2022/06/e887.pdf
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