Age: 47.0
Sex: M
Vaccine: COVID19-2, FLUX
Symptoms: SARS-CoV-2 test positive, Scan with contrast normal, Stress, Tachycardia, Troponin increased
Clinical narrative: 1/19/2023 that evening I began having frequent urination and I had a pretty bad night sweat that night. The next morning, I started having, what I thought was an asthma attack, trouble breathing. The next day I began having trouble breathing and felt fatigued. I started using my inhaler. The night sweat was worse the night of 1/20/23, drenched my sheets, along with the frequent urination. 1/21/23 I continued to have trouble breathing and felt more fatigued. I was on a cruise ship and the captain made an announcement that there were cases of COVID on the ship. That night was the worst night sweat of all. You could wring out the sheets I sweated so bad. 1/22/23 in the morning, I am still super fatigued. I checked into the airport to fly home. I had diarrhea. I began having daytime sweating. I did a home COVID test and it was positive. My temperature was normal. My blood pressure was elevated. I went to an urgent care clinic, that day, I had a COVID test and it was positive. I was prescribed PAXLOVID and prednisone. My blood pressure was elevated. I began taking the PAXLOVID that same day. I began feeling better, my lungs started clearing up a little bit. After the course of the medications, I was still not feeling right. I was still having occasional night sweats. At that point, I went into urgent care on 1/29/23 complaining about my respiratory issues and my blood pressure was elevated higher than the week before. I had a chest x-ray which looked mostly good, there was a spot that did not look normal. I was prescribed a Z PAK. The Z PAK helped a little bit, but did not solve everything. I was on that for 5 days or a week. On 2/2/23 I had a telehealth visit. Told me to give the antibiotic more time to work. On 2/6/23 I went to a pharmacy and had a positive COVID test. On 2/10/23 I was going downhill again. My blood pressure was still high, I had swelling in my hand. Another chest x-ray was done and nothing had change. The did bloodwork was normal and I was diagnosed an acute kidney injury. I was given a breathing treatment in the office to clear out my lungs. I was prescribed a second blood pressure medication, lamtidine. 2/13/23 my blood pressure is critically high. I had a telehealth appointment and was sent to the emergency room. I went that day. I had an EKG which was normal. My blood pressure was very elevated. My blood pressure went down while in the emergency room, they said stress was probably causing the elevated blood pressure. They discharged me and said to see my primary care doctor. I saw my primary care doctor on 2/14/23 and he started me on a third blood pressure medication, olmesartan. He also put me on another round of prednisone and antibiotics because my lungs were still not clear. That still did not correct my blood pressure issue. On 2/15/23 my blood pressure is sky high. I began having some chest discomfort. I went to the ER that day. The EKG I had was abnormal and my blood pressure is well of 200/100 and something. I was given IV labetalol. That got me out of my hypertensive crisis. They kept me overnight for observation. More heart tests were run. There was troponin in my bloodstream indicating I had heart muscle that was dying off. My white blood cell count was 19.2, extremely high. The next day, my blood pressure is mostly normal. My heart checked out, for the most part, fine. I have mild mitro valve regurgitation, but said it was very mild and did not need treatment. I was released, with my blood pressure stable, but not normal. I was told to follow up with my primary physician. I started self-medicating with my blood pressure medicine, experimenting with the different blood pressure medications. The amlodipine at an increased dose seemed to work the best. I am able to stay below emergency levels at home, on my own. I saw my primary physician on 2/27/23 and he prescribed another blood pressure medication, MATZIM. My lung and kidney functions are not back to normal. That starts helping, but need to take more, so I began taking a double dose. I tested positive for COVID. I am supplementing with amlodipine along with the MAXIM. I went back for a follow up visit on March 7. I have been referred to an internal doctor. I am now waiting to see what the next step is.