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SARS-CoV-2 infection associated with micturition syncope: Our experience with 4 case reports.

Identifieur interne : 000248 ( Main/Exploration ); précédent : 000247; suivant : 000249

SARS-CoV-2 infection associated with micturition syncope: Our experience with 4 case reports.

Auteurs : Victoria Birlutiu ; Rares Mircea Birlutiu ; Alin Iulian Feiereisz [Roumanie]

Source :

RBID : pubmed:32756188

Descripteurs français

English descriptors

Abstract

RATIONALE

Syncope is described as the loss of consciousness and postural muscle tone with a short duration and fast onset. Micturition syncope can be caused by abnormal vasovagal response or by the dysfunction of the blood pressure regulating mechanism, which occurs before, during, or immediately after urination.

PATIENT CONCERNS

We present 4 cases of COVID-19 hospitalized in the Department of Infectious Diseases of the Academic Emergency Hospital Sibiu, Romania, cases that presented micturition syncope.

DIAGNOSES

During hospitalization, patients confirmed with SARS-Cov-2 infection using real time reverse transcriptase-polymerase chain reaction (RT-PCR) assay, presented micturition syncope in different stages of the infection (at the beginning and in the second week of evolution).

INTERVENTIONS

Other causes of syncope such as adrenal insufficiency secondary to corticosteroids treatment, cardiac rhythm disorders, neurological impairment, dehydration, vasoactive medication, malignancies, pulmonary hypertension and coughing were excluded. The treatment of SARS-CoV-2 infection was performed following the local and national guidelines.

OUTCOMES

The clinical course of all 4 patients diagnosed with COVID-19 and micturition syncope was favorable. To our knowledge, micturition syncope in COVID-19 patients has yet not been reported by other authors.

LESSONS

To our knowledge, micturition syncope associated with the evolution of COVID-19, has yet not been reported by other authors.


DOI: 10.1097/MD.0000000000021512
PubMed: 32756188
PubMed Central: PMC7402916


Affiliations:


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<b>RATIONALE</b>
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<p>Syncope is described as the loss of consciousness and postural muscle tone with a short duration and fast onset. Micturition syncope can be caused by abnormal vasovagal response or by the dysfunction of the blood pressure regulating mechanism, which occurs before, during, or immediately after urination.</p>
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<b>PATIENT CONCERNS</b>
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<p>We present 4 cases of COVID-19 hospitalized in the Department of Infectious Diseases of the Academic Emergency Hospital Sibiu, Romania, cases that presented micturition syncope.</p>
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<b>DIAGNOSES</b>
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<p>During hospitalization, patients confirmed with SARS-Cov-2 infection using real time reverse transcriptase-polymerase chain reaction (RT-PCR) assay, presented micturition syncope in different stages of the infection (at the beginning and in the second week of evolution).</p>
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<b>INTERVENTIONS</b>
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<p>Other causes of syncope such as adrenal insufficiency secondary to corticosteroids treatment, cardiac rhythm disorders, neurological impairment, dehydration, vasoactive medication, malignancies, pulmonary hypertension and coughing were excluded. The treatment of SARS-CoV-2 infection was performed following the local and national guidelines.</p>
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<b>OUTCOMES</b>
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<p>The clinical course of all 4 patients diagnosed with COVID-19 and micturition syncope was favorable. To our knowledge, micturition syncope in COVID-19 patients has yet not been reported by other authors.</p>
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