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Case Reports
. 2023 Mar;44(3):143-145.
doi: 10.1016/j.revmed.2023.01.002. Epub 2023 Jan 19.

[Platypnea-orthodeoxia syndrome secondary to pneumonia: Two cases]

[Article in French]
Affiliations
Case Reports

[Platypnea-orthodeoxia syndrome secondary to pneumonia: Two cases]

[Article in French]
X Boulu et al. Rev Med Interne. 2023 Mar.

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.

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