tetano
Editor, Senior Moderator
Cureus
. 2022 Apr 12;14(4):e24090.
doi: 10.7759/cureus.24090. eCollection 2022 Apr.
Hiccups and Acute Symptomatic Hyponatremia: A Rare Manifestation of COVID-19
Praveen K Pandey[SUP] 1 [/SUP], Divya Pandey[SUP] 1 [/SUP], Rebecca Andrews[SUP] 2 [/SUP]
Affiliations
Abstract
We report a rare case of a patient presenting with a very unusual manifestation of coronavirus disease 2019 (COVID-19). A 62-year-old male presented to the emergency department (ED) with complaints of headache, nausea, vomiting, and intractable hiccups for two days. Laboratory results showed that he had profound hyponatremia (Na+: 103 mEq/L) and hypokalemia (K+: 2.3 mEq/L) with a positive RT-PCR for COVID-19. He was treated with an intravenous (IV) bolus of 3% saline solution followed by continuous infusion. The patient was discharged after eight days when his electrolytes returned to normal, and a significant symptomatic relief was achieved.
Keywords: acute symptomatic hyponatremia; covid-19; hiccups; hyponatremia; persistent hiccups.
. 2022 Apr 12;14(4):e24090.
doi: 10.7759/cureus.24090. eCollection 2022 Apr.
Hiccups and Acute Symptomatic Hyponatremia: A Rare Manifestation of COVID-19
Praveen K Pandey[SUP] 1 [/SUP], Divya Pandey[SUP] 1 [/SUP], Rebecca Andrews[SUP] 2 [/SUP]
Affiliations
- PMID: 35573499
- PMCID: PMC9106551
- DOI: 10.7759/cureus.24090
Abstract
We report a rare case of a patient presenting with a very unusual manifestation of coronavirus disease 2019 (COVID-19). A 62-year-old male presented to the emergency department (ED) with complaints of headache, nausea, vomiting, and intractable hiccups for two days. Laboratory results showed that he had profound hyponatremia (Na+: 103 mEq/L) and hypokalemia (K+: 2.3 mEq/L) with a positive RT-PCR for COVID-19. He was treated with an intravenous (IV) bolus of 3% saline solution followed by continuous infusion. The patient was discharged after eight days when his electrolytes returned to normal, and a significant symptomatic relief was achieved.
Keywords: acute symptomatic hyponatremia; covid-19; hiccups; hyponatremia; persistent hiccups.