Volume 25, Issue 111, May, 2021

Intractable Singultus: Atypical presentation of COVID 19

Dhruv Talwar¹, Sunil Kumar^2♦, Sparsh Madaan³, Shivam Khanna¹, Akhilesh Annadatha¹

¹Post Graduate Resident, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Intitute of Medical Sciences (Deemed to be University), Wardha, Maharastra, India
²Professor, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Intitute of Medical Sciences (Deemed to be University), Wardha, Maharastra, India
³Post Graduate Resident, Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Intitute of Medical Sciences (Deemed to be University), Wardha, Maharastra, India

^♦Corresponding author
Professor, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Intitute of Medical Sciences (Deemed to be University), Wardha, Maharastra, India

ABSTRACT

Singultus are involuntary manoeuvre that involve the reflex arc of swallowing and can be further divided into acute singultus (<48 hours) or persistent singultus (>48hours). We present a case series of three patients of different age groups who presented with the chief complaint of persistent hiccup not responding to treatment. Other than Hiccup which was episodic physical examination of the patient were unremarkable. However, Reverese Transcriptase Polymerase Chain Reaction for COVID-19 was Positive and High-Resolution CT Scan of the Chest was able to demonstrate Ground Glass Opacities scattered throughout the lung. The patients did not respond to primary treatment for hiccups and were treated with antiviral and other supportive measures. All the three patients recovered and were later discharged in stable condition. Thus, this case series showcases the importance of keeping COVID-19 as an important differential diagnosis of persistent hiccup to be prompt in reaching the diagnosis in this atypical presentation but to also be vigilant of unexpected exposure for the physician himself.

Keywords: COVID-19, Singultus, Pneumonia

Medical Science, 2021, 25(111), 1183-1187

PDF