![]() ![]() Infection is a well-described trigger of POTS, with 28–41% of patients reporting onset after a viral prodrome. She was given IV fluids, a 5-day prescription of azithromycin, and discharged home. IgG and IgM antibodies to the SARS-CoV-2 spike receptor binding domain (RBD) also returned positive. Her SARS-CoV nasopharyngeal swab was repeated and returned positive. ![]() A chest CT was performed and demonstrated moderate bronchitis with right lower lobe atelectasis. She presented to the emergency department for evaluation, where her temperature was 100.4 ℉ and her SaO2 98%. Her cough worsened and she developed burning chest pains on inhalation. She noted that her resting seated HR was 110 bpm and would increase to 190 bpm after walking up a flight of stairs. On day 7 she woke up with palpitations, shortness of breath, and anorexia. On day 3 she presented to urgent care and had a nasopharyngeal swab which returned negative for SARS-CoV-2 PCR. She woke the next day with palpitations, fatigue, and mild shortness of breath. ![]() ![]() In early March of 2020, a 26-year-old emergency department nurse in Orange County, California developed a mild cough and an itchy throat. ![]()
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