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COVID-19 presenting with persistent hiccup and myocardial infarction in a peritoneal dialysis patient: A case report

Dimitra Bacharaki1, Panagiotis Giannakopoulos2, Konstantinos Markakis3

  • 1Department of Nephrology, Attikon University Hospital, Chaidari 12462, Greece. bacharaki@gmail.com.

World Journal of Virology
|September 26, 2022
PubMed

Insights

Persistent hiccups and myocardial injury are atypical presentations of COVID-19 in peritoneal dialysis patients. Early recognition is crucial for managing these unique coronavirus disease 19 symptoms.

Area of Science:

  • Nephrology
  • Cardiology
  • Infectious Diseases

Background:

  • Persistent hiccups (>48h) are an atypical presentation of COVID-19.
  • This report details the first case in a peritoneal dialysis (PD) patient.

Observation:

  • A 70-year-old PD patient presented with anorexia, nausea, and persistent hiccups.
  • Clinical findings included non-ST elevation myocardial injury (NSTEMI) and positive SARS-CoV-2 testing.

Findings:

  • The patient experienced mild COVID-19 lung involvement.
  • NSTEMI was managed with coronary catheterization and stenting.
  • Hiccups resolved with baclofen.

Implications:

  • Persistent hiccups and NSTEMI can be atypical COVID-19 presentations in PD patients.
  • Potential mechanisms include central nervous system and myocardial injury.
Abstract

Keywords:
Atypical presentationBaclofenCOVID-19Case reportHiccupMyocardial infarctionPeritoneal dialysis

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