Hiccups and psychosis: two atypical presentations of COVID-19
Abstract The WHO defines a possible case of COVID-19 as a person experiencing fever, cough, shortness of breath, and neurological signs including anosmia, ageusia, or dysgeusia. However, experiences from hospitals all over the world have shown that presentations vary widely. Some atypical presentati...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | International Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12245-021-00333-0 |
| _version_ | 1818456613288148992 |
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| author | Teresa Alvarez-Cisneros Aldo Lara-Reyes Stephanie Sansón-Tinoco |
| author_facet | Teresa Alvarez-Cisneros Aldo Lara-Reyes Stephanie Sansón-Tinoco |
| author_sort | Teresa Alvarez-Cisneros |
| collection | DOAJ |
| description | Abstract The WHO defines a possible case of COVID-19 as a person experiencing fever, cough, shortness of breath, and neurological signs including anosmia, ageusia, or dysgeusia. However, experiences from hospitals all over the world have shown that presentations vary widely. Some atypical presentations include cardiac, gastrointestinal, neurological, and cutaneous and while some are driven by the inflammatory response, others are a consequence of the hypercoagulable state. In our emergency department in a private hospital in Mexico City, we received two patients with very different symptoms on the same shift. Two previously healthy men in their 40s presented to the ER with very atypical manifestations of COVID-19. Neither of them complained of fever, cough, or shortness of breath. The first referred a 3-day history of hiccups that had not resolved with metoclopramide. The second presented with an acute episode of altered mental status. While the first case revealed lung involvement of the disease, the second case had a clean chest CT scan. These cases are relevant as manifestations of COVID-19 vary widely, especially in previously healthy young adults. |
| first_indexed | 2024-12-14T22:29:27Z |
| format | Article |
| id | doaj.art-6d293a5e081249d794d0708a202121a9 |
| institution | Directory Open Access Journal |
| issn | 1865-1372 1865-1380 |
| language | English |
| last_indexed | 2024-12-14T22:29:27Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Emergency Medicine |
| spelling | doaj.art-6d293a5e081249d794d0708a202121a92022-12-21T22:45:17ZengBMCInternational Journal of Emergency Medicine1865-13721865-13802021-01-011411510.1186/s12245-021-00333-0Hiccups and psychosis: two atypical presentations of COVID-19Teresa Alvarez-Cisneros0Aldo Lara-Reyes1Stephanie Sansón-Tinoco2Instituto Nacional de Geriatría Anillo PerifericoMedica SurMedica SurAbstract The WHO defines a possible case of COVID-19 as a person experiencing fever, cough, shortness of breath, and neurological signs including anosmia, ageusia, or dysgeusia. However, experiences from hospitals all over the world have shown that presentations vary widely. Some atypical presentations include cardiac, gastrointestinal, neurological, and cutaneous and while some are driven by the inflammatory response, others are a consequence of the hypercoagulable state. In our emergency department in a private hospital in Mexico City, we received two patients with very different symptoms on the same shift. Two previously healthy men in their 40s presented to the ER with very atypical manifestations of COVID-19. Neither of them complained of fever, cough, or shortness of breath. The first referred a 3-day history of hiccups that had not resolved with metoclopramide. The second presented with an acute episode of altered mental status. While the first case revealed lung involvement of the disease, the second case had a clean chest CT scan. These cases are relevant as manifestations of COVID-19 vary widely, especially in previously healthy young adults.https://doi.org/10.1186/s12245-021-00333-0COVID-19SARS-CoV-2Atypical manifestationsPsychosis |
| spellingShingle | Teresa Alvarez-Cisneros Aldo Lara-Reyes Stephanie Sansón-Tinoco Hiccups and psychosis: two atypical presentations of COVID-19 International Journal of Emergency Medicine COVID-19 SARS-CoV-2 Atypical manifestations Psychosis |
| title | Hiccups and psychosis: two atypical presentations of COVID-19 |
| title_full | Hiccups and psychosis: two atypical presentations of COVID-19 |
| title_fullStr | Hiccups and psychosis: two atypical presentations of COVID-19 |
| title_full_unstemmed | Hiccups and psychosis: two atypical presentations of COVID-19 |
| title_short | Hiccups and psychosis: two atypical presentations of COVID-19 |
| title_sort | hiccups and psychosis two atypical presentations of covid 19 |
| topic | COVID-19 SARS-CoV-2 Atypical manifestations Psychosis |
| url | https://doi.org/10.1186/s12245-021-00333-0 |
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