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

作　　者：Dimitra Bacharaki Panagiotis Giannakopoulos Konstantinos Markakis Christos Papas Aikaterini Theodorou Vasiliki Zoi Georgios Tsivgoulis Sophia Lionaki 

机构地区：[1]Department of Nephrology,Attikon University Hospital,Chaidari 12462,Greece [2]Department of Internal Medicine,Attikon University Hospital,Chaidari 12462,Greece [3]Department of Cardiology,Attikon University Hospital,Chaidari 12462,Greece [4]Second Department of Neurology,National and Kapodistrian University of Athens,Attikon University Hospital,Athens,Greece

出　　处：《World Journal of Virology》2022年第4期198-203,共6页世界病毒学杂志

摘　　要：BACKGROUND Persistent hiccups,lasting more than 48 h,have been described as an atypical presentation of coronavirus disease 19(COVID-19)in the general population.To the best of our knowledge,this is the first report of persistent hiccups and non-ST elevation myocardial injury(NSTEMI)as an atypical presentation of COVID-19 in a peritoneal dialysis(PD)patient.CASE SUMMARY A 70-year old man,who had been on PD for 3 years with a history of ischemic heart failure and reduced ejection fraction,presented for a scheduled radionuclide myocardial scan.Upon arrival,he complained of anorexia,nausea for 5 d,and unremitting hiccups for the previous 48 h.Clinical and laboratory examinations revealed an NSTEMI plus a positive nasopharyngeal reverse transcriptase polymerase chain reaction testing for severe acute respiratory syndrome coronavirus 2.COVID-19 lung involvement was mild and was resolved without specific treatment.Myocardial injury was managed by coronary catheterization and stenting,while hiccups responded only to baclofen per os.CONCLUSION Persistent hiccups and NSTEMI can be atypical presentations of COVID-19 in peritoneal dialysis patients,which may be due to involvement of the central nervous system and myocardial injuries.

关 键 词：COVID-19 Peritoneal dialysis Atypical presentation HICCUP Myocardial infarction BACLOFEN Case report 

分 类 号：R54[医药卫生—心血管疾病]