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- X Boulu, J D Karam, A Dernoncourt, P Duhaut, and J Schmidt.
- Service de médecine interne et RECIF, centre hospitalier universitaire d'Amiens, 80054 Amiens, France. Electronic address: boulu.xavier@chu-amiens.fr.
- Rev Med Interne. 2023 Mar 1; 44 (3): 143145143-145.
IntroductionThe platypnea-orthodeoxia syndrome is a rare situation characterized by the appearance of dyspnea and/or hypoxemia during the transition to orthostatism.ObservationsWe 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.ConclusionThis 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.Copyright © 2023 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.
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