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A COVID 19 REPORT OF A HYPOTENSIVE YOUNG WOMAN WITH UNIQUE HIGH C-REACTIVE PROTEIN AND UNEXPLAINED INCREASE IN FERRITIN AND LACTATE DEHYDROGENASE SERUM LEVELS

ANAS KHALEEL, ABDULLAH BASSAM ZAKAİYA, SARAH KAAWACH, AMAL ALSHWEİKY

The Anatolian Journal of Family Medicine - 2025;8(1):29-32

Department of Pharmacology and Biomedical Sciences, Faculty of Pharmacy and Medical Sciences, University of Petra, Amman, Jordan

 

This case report aims to document the unusual presentation of low blood pressure in a coronavirus disease-19 (COVID-19) patient. A 22-year-old woman with a history of chronic allergic bronchitis, managed with montelukast 10 mg daily, presented to the emergency department with unique low blood pressure (averaging 90/56 mmHg) during and a month after recovering from COVID-19. The patient initially suffered from fever and cough, treated with paracetamol 500 mg as needed, Vitamin C 1000 mg daily, zinc 25 mg daily, and azithromycin 250 mg twice daily. Symptoms of the patient worsened after a week, leading to a chest X-ray that revealed pneumonia. Subsequent laboratory tests showed high C-reactive protein (CRP) levels and increased ferritin. The patient exhibited persistent low blood pressure, averaging 90/56 mmHg during her COVID-19 infection and for a month post-recovery. Laboratory findings included high CRP levels and elevated ferritin. Chest X-ray confirmed pneumonia.