[Platypnea-orthodeoxia syndrome secondary to pneumonia: Two cases]
- PMID: 36681524
- DOI: 10.1016/j.revmed.2023.01.002
[Platypnea-orthodeoxia syndrome secondary to pneumonia: Two cases]
Abstract
Introduction: The platypnea-orthodeoxia syndrome is a rare situation characterized by the appearance of dyspnea and/or hypoxemia during the transition to orthostatism.
Observations: We report the case of two patients, who presented with a platypnea-orthodeoxia syndrome following pneumocystis pneumonia and COVID-19, revealing an intracardiac communication with a right-left shunt on contrast ultrasound.
Conclusion: This syndrome can be detected easily at the bedside with positional maneuvers and the shunt demonstrated by a hyperoxia test. Non-reversible situations may require correction of the anatomical anomaly by transcatheter intervention or surgery.
Keywords: COVID-19; Dyspnea; Dyspnée; Platypnea-orthodeoxia; Platypnée-orthodeoxie.
Copyright © 2023 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.
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