Hiccups, a Rare Presentation of Infective Endocarditis: A Case Report
Hiccup has a wide variety of etiologies irritating the hiccup reflex arc. It is usually benign and self-limited but can be an alarm sign for serious underlying conditions. Hiccup has been rarely reported in patients with infective endocarditis as a result of splenic involvement and phrenic nerve irr...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2021-03-01
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| Series: | Journal of Kerman University of Medical Sciences |
| Subjects: | |
| Online Access: | https://jkmu.kmu.ac.ir/article_91617_a5529a1940c636e9bae519b4e86b95d3.pdf |
| _version_ | 1827911961453527040 |
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| author | Hale Afshar Sina Bakhshaei Masoumeh Kahnooji Mohsen Shafiepour Ahmad Alinaghi Langari |
| author_facet | Hale Afshar Sina Bakhshaei Masoumeh Kahnooji Mohsen Shafiepour Ahmad Alinaghi Langari |
| author_sort | Hale Afshar |
| collection | DOAJ |
| description | Hiccup has a wide variety of etiologies irritating the hiccup reflex arc. It is usually benign and self-limited but can be an alarm sign for serious underlying conditions. Hiccup has been rarely reported in patients with infective endocarditis as a result of splenic involvement and phrenic nerve irritation. Herein, we report a 72-year-old man with the chief complaint of long-lasting hiccups (for a 1-month duration) who was diagnosed with infective endocarditis; however, his spleen was grossly intact. The bouts of hiccups repeated 2-3 times a day and lasted for 10-20 minutes. After the initiation of antibiotics, his symptoms waned for a while and appeared again, and then, the hiccups were eliminated. Long-lasting hiccups can be a presentation of serious medical conditions such as infective endocarditis, with or without splenic involvement. Hence, it is important to keep in mind these conditions to perform proper diagnostic and therapeutic workups. |
| first_indexed | 2024-03-13T02:09:37Z |
| format | Article |
| id | doaj.art-f6850d02a5a948039b957afcd125d32e |
| institution | Directory Open Access Journal |
| issn | 2008-2843 |
| language | English |
| last_indexed | 2024-03-13T02:09:37Z |
| publishDate | 2021-03-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | Journal of Kerman University of Medical Sciences |
| spelling | doaj.art-f6850d02a5a948039b957afcd125d32e2023-07-01T05:11:27ZengKerman University of Medical SciencesJournal of Kerman University of Medical Sciences2008-28432021-03-0128219920310.22062/jkmu.2021.9161791617Hiccups, a Rare Presentation of Infective Endocarditis: A Case ReportHale Afshar0Sina Bakhshaei1Masoumeh Kahnooji2Mohsen Shafiepour3Ahmad Alinaghi Langari4Assistant Professor of Pulmonary Diseases, Shahid Beheshti Hospital, Kashan University of Medical Sciences, Kashan, IranGeneral practitioner, Clinical Research Development Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, IranAssistant Professor of Cardiology, Cardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, IranAssistant Professor of Pulmonary Diseases, Clinical Research Development Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran; Department of Internal Medicine, School of Medicine, Kerman University of Medical Sciences, KermanGeneral practitioner, Student Research Committee, School of Medicine, Kerman University of Medical Sciences, Kerman, IranHiccup has a wide variety of etiologies irritating the hiccup reflex arc. It is usually benign and self-limited but can be an alarm sign for serious underlying conditions. Hiccup has been rarely reported in patients with infective endocarditis as a result of splenic involvement and phrenic nerve irritation. Herein, we report a 72-year-old man with the chief complaint of long-lasting hiccups (for a 1-month duration) who was diagnosed with infective endocarditis; however, his spleen was grossly intact. The bouts of hiccups repeated 2-3 times a day and lasted for 10-20 minutes. After the initiation of antibiotics, his symptoms waned for a while and appeared again, and then, the hiccups were eliminated. Long-lasting hiccups can be a presentation of serious medical conditions such as infective endocarditis, with or without splenic involvement. Hence, it is important to keep in mind these conditions to perform proper diagnostic and therapeutic workups.https://jkmu.kmu.ac.ir/article_91617_a5529a1940c636e9bae519b4e86b95d3.pdfinfective endocarditisfever of unknown originintractable hiccups |
| spellingShingle | Hale Afshar Sina Bakhshaei Masoumeh Kahnooji Mohsen Shafiepour Ahmad Alinaghi Langari Hiccups, a Rare Presentation of Infective Endocarditis: A Case Report Journal of Kerman University of Medical Sciences infective endocarditis fever of unknown origin intractable hiccups |
| title | Hiccups, a Rare Presentation of Infective Endocarditis: A Case Report |
| title_full | Hiccups, a Rare Presentation of Infective Endocarditis: A Case Report |
| title_fullStr | Hiccups, a Rare Presentation of Infective Endocarditis: A Case Report |
| title_full_unstemmed | Hiccups, a Rare Presentation of Infective Endocarditis: A Case Report |
| title_short | Hiccups, a Rare Presentation of Infective Endocarditis: A Case Report |
| title_sort | hiccups a rare presentation of infective endocarditis a case report |
| topic | infective endocarditis fever of unknown origin intractable hiccups |
| url | https://jkmu.kmu.ac.ir/article_91617_a5529a1940c636e9bae519b4e86b95d3.pdf |
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