Volume 25, Issue 112, June 2021

COVID-19 associated Platypnea Orthodexia syndrome in a young male

Dhruv Talwar¹, Sunil Kumar^2♦, Sourya Acharya³, Sparsh Madaan⁴, Vidyashree Hulkoti¹

¹Post Graduate Resident, Department of Medicine, Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
²Professor, Department of Medicine, Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
³Professor and Head of Department, Department of Medicine, Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
⁴Post Graduate Resident, Department of Obstetrics and Gynaecology, Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

^♦Corresponding author
Professor, Department of Medicine, Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

ABSTRACT

Platypnea -orthodexia syndrome is a rare syndrome which is described as breathlessness during the upright posture which is relieved in supine position. Its causes range from cardiac causes to pulmonary causes with few non cardiopulmonary etiologies. COVID-19 can have a wide range of pulmomonary manifestations ranging from acute respiratory distress syndrome to fibrosis of the lung. It is a rare finding of COVID-19. Here, we describe a case of 32 year old male who had respiratory distress due to COVID-19 infection and later suffered from platypneaorthodexia syndrome during his recovery phase. He was managed with chest physiotherapy along with oxygen support with which he improved and was discharged in stable condition. Platypnea Orthodexia is hence a rare manifestation of COVID-19 which must be diagnosed in time so that it can be managed in time with supportive therapy.

Keywords: COVID-19, platypnea orthodexia syndrome

Medical Science, 2021, 25(112), 1326-1330

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