An Atypical Presentation of Novel Coronavirus Disease 2019 (COVID-19)

A 71-year-old female with hypertension came to emergency department (ED) with complaints of syncope. She did not have chest pain, shortness of breath, fever or cough. Blood pressure was 152/70 mmHg, 139/75 mmHg and 128/75 mmHg at supine, sitting and standing position respectively. Temperature was 98.5°F, pulse 114 beats/minute, respiratory rate 18/minute and oxygen saturation 96% on room air. She was awake, alert and had clear lungs. Electrocardiogram showed normal sinus rhythm. Glucose was 143 mg/dL, sodium 136 mmol/L, potassium 4.0 mmol/L, creatinine 1.34 mg/dL (normal baseline) and normal Troponin.