In patients with COVID-19, they are to seek medical help if they develop difficulty breathing, persistent pressure or pain in the chest, new confusion, bluish lips or face, and the inability to stay awake. Recently, a new addition has been added, which is the formation of rashes inside the mouth. These include fatigue, body pain, headache, loss of smell, loss of taste, runny nose or nasal congestion, nausea and vomiting, diarrhea, hair loss, and sore throat. As the pandemic evolved throughout the eight months it has rippled across the globe, more signs and symptoms were reported. Centers for Disease Control and Prevention (CDC). The typical signs and symptoms of coronavirus disease include coughing, fever, and shortness of breath, according to the U.S. Further, doctors and the healthcare team should always maintain personal protective equipment to avoid exposure from patients who do not present with the typical symptoms of the coronavirus infection. Second, doctors and clinicians should keep COVID-19 infection on their differential as more cases are being discovered through atypical symptoms, which could be unexpected and bizarre. Aside from this, it is also important for doctors to take a thorough history, conduct a physical exam, and to obtain general laboratory work and chest X-ray imaging. First, it underscores the importance of having a detailed evaluation of those presenting with hiccups. The case report of the man who had hiccups highlights two crucial issues, the researchers noted. As more cases are reported, a multitude of signs and symptoms, even atypical ones, are being reported. The clinical characteristics of COVID-19 are rapidly evolving as data continues to be collected across the globe. Study suggests mRNA vaccines decouple SARS-CoV-2 immunity from autoantibody responses observed during acute COVID-19.Nasal administration of a fully human anti-CD3 monoclonal antibody modulates T cell inflammatory responses in COVID-19.Evaluating SARS-CoV-2 bivalent booster vaccine against severe COVID-19 outcomes. This is the first case report of persistent hiccups as the presenting complaint in a COVID-19 positive patient, the researchers claimed. An emergency medicine physician should keep COVID-19 on the differential and be vigilant of exposure in atypical presentations,” they added. “He was tested for COVID-19 per admission protocol, started on hydroxychloroquine, his hiccups improved, and he was discharged to home after three days. “An abnormal chest X-ray led to a CT scan of the chest with IV contrast, which demonstrated regional, peripheral ground-glass opacities of the upper lobes with small focal ground-glass opacities scattered throughout the lungs,” the authors wrote in the paper. Further tests revealed the patient had problems with his lung capacity, and he was later isolated and tested COVID-19 infection. The man experienced hiccups for four days before being admitted to the hospital due to fever. Published in the journal The American Journal of Emergency Medicine, a case report by researchers at Cook County Health described an incident wherein a 62-year-old patient who went to the emergency department had reported persistent hiccups for days and an unintentional weight loss over four months. Image Credit: CGN089 / Shutterstock The case report Study: Persistent hiccups as an atypical presenting complaint of COVID-19.
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