Persistent hiccups as an atypical presenting complaint of COVID-19

Prince, Garrett; Sergel, Michelle

doi:10.1016/j.ajem.2020.04.045

Cited by 43 publications

(50 citation statements)

References 5 publications

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“…The only remarkable nding during examination were crackles on lung auscultation. Similar to the case previously reported by Prince et al, where a 62-year-old woman presented with a 4-day history of hiccups, our patient had a Chest X ray and a CT scan showing ground-glass and consolidative pulmonary opacities compatible with SARS Cov 2 pneumonia 5 . Thus, the most likely cause of the patient's symptoms was phrenic nerve in ammation secondary to COVID 19 pneumonia.…”

Section: Discusssion Casesupporting

confidence: 87%

Hiccups and Psychosis: Two atypical presentations of COVID -19

Álvarez‐Cisneros

Lara-Reyes

Sansón-Tinoco

2020

Preprint

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Section: Discusssion Casesupporting

confidence: 87%

Hiccups and Psychosis: Two atypical presentations of COVID -19

Álvarez‐Cisneros

Lara-Reyes

Sansón-Tinoco

2020

Preprint

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“…The only remarkable nding during examination were crackles on lung auscultation. Similar to the case previously reported by Prince et al, where a 62-year-old woman presented with a 4-day history of hiccups, our patient had a Chest X ray and a CT scan showing ground-glass and consolidative pulmonary opacities compatible with SARS Cov 2 pneumonia 13 . Thus, the most likely cause of the patient's symptoms was phrenic nerve in ammation secondary to COVID 19 pneumonia.…”

Section: Discusssion Casesupporting

confidence: 87%

Hiccups and Psychosis: Two atypical presentations of COVID -19

Álvarez‐Cisneros

Lara-Reyes

Sansón-Tinoco

2020

Preprint

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The WHO defines a possible case of COVID-19 as a person experiencing fever, cough, shortness of breath and neurological signs including anosmia, ageusia or dysgeusia. However, experiences from hospitals all over the world have shown that presentations vary widely. Some atypical presentations include cardiac, gastrointestinal, neurological and cutaneous and while some are driven by the inflammatory response, other are a consequence of the hypercoagulable state. In our emergency department in a private hospital in Mexico City, we received two patients with very different symptoms on the same shift. Two previously healthy men in their 40s presented to the ER with very atypical manifestations of COVID-19. Neither of them complained of fever, cough or shortness of breath. The first referred a 3-day history of hiccups that had not resolved with metoclopramide. The second presented with an acute episode of altered mental status. While the first case revealed lung involvement of the disease, the second case had a clean chest CT scan. These cases are relevant as manifestations of COVID-19 vary widely, especially in previously healthy young adults.

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“…To our knowledge, this is the second case report of persistent hiccups as atypical presentation of COVID-19. Prince et al (4) reported a similar nding in 62-year old man with a four-day history of persistent hiccups. He had abnormal chest x-ray and CT scan with ground-glass opacities scattered throughout the lungs.…”

Section: Discussionmentioning

confidence: 68%

Persistent Hiccups as atypical presentation of COVID-19: a Case Report

Zahran¹

2020

Preprint

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The recent outbreak of SARS-CoV-2 has become pandemic since it began in late 2019. Typical symptoms include cough, shortness of breath or difficulty breathing, fever, myalgia and sore throat. There are other unusual or atypical presentations of COVID-19 in ORL practice. We report a 64-year-old male patient presenting with hiccups as the only symptom. Chest x-ray ray revealed new ground-glass opacities in both lung fields and he was found to be COVID-19 positive by RT-PCR. Early recognition of the COVID-19 atypical presentations by the Otolaryngologist facilitates subsequent management and case isolation to eliminate the risk of viral transmission.

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Persistent hiccups as an atypical presenting complaint of COVID-19

Cited by 43 publications

References 5 publications

Hiccups and Psychosis: Two atypical presentations of COVID -19

Hiccups and Psychosis: Two atypical presentations of COVID -19

Hiccups and Psychosis: Two atypical presentations of COVID -19

Persistent Hiccups as atypical presentation of COVID-19: a Case Report

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