Persistent hiccups as an atypical presenting complaint of COVID-19.
Am J Emerg Med
; 38(7): 1546.e5-1546.e6, 2020 07.
Article
en En
| MEDLINE
| ID: mdl-32345563
ABSTRACT
Hiccups (singultus) are reflex inspiratory movements that involve the swallowing reflex arc and can be classified as acute (<48 h) or persistent (>48 h). A 62-year-old man with no history of malignancy or pulmonary disease presented to the Emergency Department with a four-day history of persistent hiccups. Other than episodic hiccupping, his physical examination was otherwise unremarkable. An abnormal chest X-ray led to a CT scan of the chest with IV contrast, which demonstrated regional, peripheral groundglass opacities of the upper lobes with small focal groundglass opacities scattered throughout the lungs. He was tested for COVID-19 per admission protocol, started on hydroxychloroquine, his hiccups improved, and he was discharged to home after 3 days. An emergency medicine physician should keep COVID-19 on the differential and be vigilant of exposure in atypical presentations.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Neumonía Viral
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Infecciones por Coronavirus
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Hipo
Límite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am J Emerg Med
Año:
2020
Tipo del documento:
Article