2020, Number 5
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Med Int Mex 2020; 36 (5)
Singultus as initial symptom of infection due to SARS-CoV-2
Boland-Rodríguez E, Estrada-Jaime MA, Soto-Salazar LG
Language: Spanish
References: 11
Page: 745-748
PDF size: 216.38 Kb.
ABSTRACT
Background: COVID-19 caused by SARS-CoV-2 was first described in December
2019 in Wuhan, China, declared as a pandemic by the WHO since March 11, 2020.
The most common presenting symptoms are cough, fever, dyspnea and myalgia; however,
every day cases are described where the patient debuts with atypical symptoms.
Clinical case: A 54-year-old male patient with COVID-19 whose initial symptom
was singultus (hiccups).
Conclusions: Persistent hiccups is an atypical presentation of pneumonia, especially
in elderly patients. Despite the fact that hiccups has many possible etiologies, due to
COVID-19 pandemic and its most common manifestation being atypical pneumonia,
any patient who develops persistent singultus should be further studied to ruled out
SARS-CoV-2 infection. This could identify early cases of COVID-19, decreasing the
contagion rate and increasing prognosis.
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