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

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.