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新型冠状病毒肺炎与顽固性呃逆:一种看似无害却具误导性的表现

COVID-19 and Intractable Hiccups: An Apparently Harmless Yet Misleading Manifestation.

作者信息

Albtoosh Asma, Alkhlaifat Nizar S, Aldurgham Ahmad, Fraij Zeyad, Aloqaily Mohammed

机构信息

Respiratory and Internal Medicine, The University of Jordan, Amman, JOR.

Pediatrics, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA.

出版信息

Cureus. 2024 Aug 1;16(8):e65966. doi: 10.7759/cureus.65966. eCollection 2024 Aug.

DOI:10.7759/cureus.65966
PMID:39221325
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11365604/
Abstract

COVID-19 infection typically presents with various symptoms encompassing fever, cough, and shortness of breath, with occasional reports of less common manifestations such as dizziness and persistent hiccups. Herein, we present a distinctive case wherein refractory hiccups constituted the exclusive complaint, persisting despite standard therapeutic interventions and serving as a misleading sole presentation for COVID-19 infection that, unfortunately, was complicated by septic shock and patient demise. This case prompts contemplation regarding the potential impact of hiccups on the prognosis of COVID-19. It also underscores the imperative nature of recognizing and considering atypical and uncommon presentations, as these may carry significant and even more severe consequences.

摘要

新冠病毒感染通常表现为多种症状,包括发热、咳嗽和呼吸急促,偶尔也有关于不太常见表现的报告,如头晕和持续性打嗝。在此,我们呈现一个独特的病例,其中难治性打嗝是唯一的主诉,尽管进行了标准治疗干预仍持续存在,并且作为新冠病毒感染的唯一误导性表现,不幸的是,该病例并发了感染性休克并导致患者死亡。这个病例促使我们思考打嗝对新冠病毒感染预后的潜在影响。它还强调了识别和考虑非典型和不常见表现的紧迫性,因为这些可能带来重大甚至更严重的后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b99c/11365604/ade68d655590/cureus-0016-00000065966-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b99c/11365604/4037f987b655/cureus-0016-00000065966-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b99c/11365604/8eeeb0d24085/cureus-0016-00000065966-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b99c/11365604/ade68d655590/cureus-0016-00000065966-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b99c/11365604/4037f987b655/cureus-0016-00000065966-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b99c/11365604/8eeeb0d24085/cureus-0016-00000065966-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b99c/11365604/ade68d655590/cureus-0016-00000065966-i03.jpg

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Cureus. 2022 Apr 12;14(4):e24090. doi: 10.7759/cureus.24090. eCollection 2022 Apr.
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Persistent Hiccups as an Atypical Presentation of SARS-CoV-2 Infection: A Systematic Review of Case Reports.持续性呃逆作为新型冠状病毒感染的非典型表现:病例报告的系统评价
Front Neurol. 2022 Apr 4;13:819624. doi: 10.3389/fneur.2022.819624. eCollection 2022.
3
Atrial Fibrillation Caused by Intractable Hiccups: A Unique Cause and Cure.
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Case Rep Pulmonol. 2022 Jan 11;2022:9381109. doi: 10.1155/2022/9381109. eCollection 2022.
4
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Cureus. 2021 Dec 4;13(12):e20158. doi: 10.7759/cureus.20158. eCollection 2021 Dec.
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Acute Coronary Syndrome Presenting With Hiccups.以呃逆为表现的急性冠状动脉综合征
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