Mamani Carlos E, Palafox Rodríguez Miguel H, Mamani Silvia B, Valdez Pascual R, Licciardi Roberto
Hospital General de Agudos Dr. Teodoro álvarez, Buenos Aires, Argentina. E-mail:
Carrera de Medicina, Departamento de Ciencias de la Salud, Universidad Nacional de La Matanza, San Justo, Provincia de Buenos, Argentina.
Medicina (B Aires). 2022;82(4):617-620.
SARS-CoV-2 infection usually manifests as an acute respiratory syndrome, characterized by fever, cough, sore throat and dyspnea. Nonetheless, since the beginning of the pandemic in December 2019, less frequent initial symptoms were reported, as the sudden appearance of hiccups (singultus). We describe a clinical case of a 62-year-old male with a medical history of arterial hypertension, diabetes and chronic cardiac insufficiency, who complained of persistent hiccups as initial manifestation of COVID-19, followed by respiratory symptoms. After the SARS-CoV-2 infection diagnosis was made, the patient was hospitalized, receiving the corresponding treatment. The singultus partially improved with dopaminergic antagonists and it disappeared on the sixth day of hospitalization. Glycemic correction with regular insulin was required. He presented a favorable outcome, being discharged after 14 days of hospitalization.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染通常表现为急性呼吸综合征,其特征为发热、咳嗽、咽痛和呼吸困难。然而,自2019年12月疫情开始以来,有报道称出现了不太常见的初始症状,比如突然出现的打嗝(呃逆)。我们描述了一例临床病例,一名62岁男性,有动脉高血压、糖尿病和慢性心功能不全病史,他主诉持续性打嗝是新冠病毒病(COVID-19)的初始表现,随后出现呼吸道症状。在确诊感染SARS-CoV-2后,患者住院并接受了相应治疗。使用多巴胺能拮抗剂后呃逆症状部分改善,并在住院第六天消失。需要使用常规胰岛素进行血糖校正。他预后良好,住院14天后出院。