Syncope: A Very Atypical Presentation of COVID-19


  •   Richard D. Shih

  •   Paul M. Louis

  •   Scott M. Alter

  •   Patrick G. Hughes

  •   Joshua J. Solano

  •   Lisa M. Clayton


Possible COVID-19 patients have presented commonly to United States Emergency Departments. Patients presenting with cough, fever and shortness of breath are easy to identify as suspected cases. Unfortunately, not all COVID-19 patients present this way. Atypical presentations are a risk factor for healthcare worker (HCW) transmission of this disease. In this case report we describe the unusual case of COVID-19 presenting as syncope without any other risk factors. HCWs need to be aware of atypical COVID-19 presentations and to maintain proper use of personal protective equipment.

Keywords: COVID-19, Pandemic, Syncope, Heathcare worker transmission, Viral pandemic


CDC COVID-19 Response Team: Characteristics of health care personnel with COVID-19 - United States, February 12-April 9, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69:477-481.

Ran L, Chen X, Wang Y, et al. Risk factors of healthcare workers with corona virus disease 2019: A retrospective cohort study in a designated hospital of Wuhan in China. Clin Infect Dis. 2020 Mar 17. pii: ciaa287. doi: 10.1093/cid/ciaa287.

Garg S, Kim L, Whitaker M, et al. Hospitalization rates and characteristics of patients hospitalized with laboratory-confirmed coronavirus disease 2019 - COVID-NET, 14 states, March 1-30, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69:458-464.

Klok FA, Kruip MJHA, van der Meer NJM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020 Apr 10. pii: S0049-3848(20)30120-1. doi: 10.1016/j.thromres.2020.04.013. [Epub ahead of print].

Mei H, Hu Y. Characteristics, causes, diagnosis and treatment of coagulation dysfunction in patients with COVID-19. Zhonghua xue ye xue za zhi Zhonghua xueyexue zazhi. 2020 Mar 5; 41: E002.


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How to Cite
Shih, R. D., Louis, P. M., Alter, S. M., Hughes, P. G., Solano, J. J., & Clayton, L. M. (2020). Syncope: A Very Atypical Presentation of COVID-19. European Journal of Medical and Health Sciences, 2(6).