Laboratory of Palliative Medicine, Department of Social Medicine and Public Health, Medical University of Warsaw, Oczki 3, 02-007, Warsaw, Poland.
Observational and Infectious Disease Ward, Clinical Specialist Hospital in Chorzow, Zjednoczenia 10, 41-500, Chorzów, Poland.
Eur J Med Res. 2022 Apr 29;27(1):60. doi: 10.1186/s40001-022-00685-0.
The SARS-CoV-2 pandemic has become a challenge for the entire healthcare system. Treatment for COVID-19 includes casual and symptomatic management in the acute phase of the disease and focuses on the treating early complications of the disease. Long-term health consequences of the infection have not yet been fully identified. A special group of patients with comorbidities, including neoplastic disease for whom the interpretation and management of symptoms is a major challenge.
In this case report, we present a 73-year-old woman with recently diagnosed gastric adenocarcinoma in whom we diagnosed orthostatic hypotonia in the aftermath of SARS-CoV-2 infection. We administered thiethylperazine maleate 6.5 mg daily. Additionally, we advised the patient to slowly lift from the recumbent position, raise the headboard, take meals in small portions, and increase fluid intake. These pharmacological and nonpharmacological measures resulted in sustained relief of dizziness and nausea.
The occurrence of orthostatic hypotonia seems a possible late sequela of SARS-CoV-2 infection, and simple measures appeared sufficient to achieve sustained symptom control.
SARS-CoV-2 大流行对整个医疗保健系统构成了挑战。COVID-19 的治疗包括疾病急性期的常规和对症治疗，并侧重于治疗疾病的早期并发症。感染的长期健康后果尚未完全确定。患有合并症的特殊患者群体，包括肿瘤疾病患者，其症状的解释和管理是主要挑战。
在本病例报告中，我们介绍了一位 73 岁的女性，她最近被诊断出患有胃腺癌，在 SARS-CoV-2 感染后我们诊断出其患有直立性低血压。我们每天给予马来酸噻乙哌啶 6.5mg。此外，我们建议患者从卧位缓慢抬起，抬起床头，少食多餐，并增加液体摄入。这些药物和非药物措施可持续缓解头晕和恶心。
直立性低血压的发生似乎是 SARS-CoV-2 感染的一种可能的迟发后遗症，简单的措施似乎足以实现持续的症状控制。
