Case reports: Persistent hiccup as an atypical presentation of COVID-19 infection in a vaccinated subject. (August 2022)

• Record Type: Journal Article
• Authors: Poudel Jaishi, Prakash; Neupane, Sandhya Kiran; Koirala, Divyaa; Joshi, Kusum; kandel, Arjun; Neupane, Prabhat Kiran
• Is Part Of: Annals of medicine and surgery. Volume 80(2022)
• Publication Date: 2022-08
• Subjects: Persistent -- Hiccup -- SARS COV-2 -- Vaccination; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.104312
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Introduction: and Importance: COVID-19 have wide array of clinical manifestation involving both respiratory and non-respiratory symptoms including neurological symptoms. Hiccups is the involuntary and spasmodic movement of the diaphragm and the intercoastal muscle that leads to the closure of the glottis and limitation of breathing in air. Case presentation: We present a case of a 72-year old SARS COV-2 positive male with hypertension who have persistent hiccup. The patient is a vaccinated subject with 2 dose of Vero cells. Clinical findings and investigations: Vitals were stable.Mild dehydration was present.Bilateral Diffuse wheeze was present on Respiratory examination. No other abnormalities were detected during systemic examination.Imaging of his chest revealed bilateral mid-lung opacities and air bronchogram. Interventions and outcome: Perisitent hiccup was treated with metoclopramide. The hiccups reduced as the patient required less oxygen supplementation and inflammatory indicators decreased. Relevance and impact: This case report tends to provide information and awareness among physicians regarding this atypical presentation of the disease. Highlights: Covid 19 has varieties of Presentation which may include pulmonary and extra-pulmonary manifestation among which Persistent Hiccup is one of the atypical presentation. Hiccups are the involuntary and spasmodic movement of the diaphragm and the intercoastal muscle. It is self limiting condition but can be bothersome when persist for long duration. Hiccups can get better with some extent with Metoclopramide. As the Oxygen Saturation gets maintained and inflammatory markers lowers down this atypical symptom subsides.