Case Report Virus in the throat; Man on the floor Syncopal episodes in a man with Covid-19

Abstract

Even though infection with SARS-CoV-2 presents primarily with respiratory symptoms, unusual clinical manifestations have also been reported during the current pandemic. In May 2020, a middle-aged man presented to us with three episodes of impaired consciousness, which clinically appeared to be syncopal episodes. Patient had history of a single episode of mild fever 6 days prior to presentation, not accompanied by any respiratory symptoms. As a routine, swab for SARS-CoV-2 was sent and he tested positive. Holter recording was able to record sinus bradycardia followed by junctional escape during one such episode. Patient was managed symptomatically and there was no further recurrence of syncope.