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Unusual presentation of more common disease/injury
CASE REPORT
Rare clinical manifestation of community-acquired pneumonia
  1. Shay Brikman,
  2. Omri Levi and
  3. Guy Dori
  1. Internal Medicine E, Emek Medical Center, Afula, Israel
  1. Correspondence to Dr Guy Dori, guydo{at}clalit.org.il

Abstract

A 71-year-old patient was admitted due to fever and persistent (>48 hours) hiccups. History and physical examination were not instructive. Lab tests were not specific, showing an inflammatory response. Chest film did not demonstrate opacities. The patient was treated with chlorpromazine with no relief. Fever and hiccups persisted, and therefore neck and chest CT was performed revealing a right lower lobe infiltrate, a finding consistent with pneumonia. Antibiotics were initiated and within 48 hours fever and hiccups resolved and patient recovered. Although hiccups are rarely described as a clinical manifestation of community acquired pneumonia, one should consider this diagnosis in a patient with unexplained fever.

  • pneumonia (infectious disease)
  • general practice/family medicine

https://doi.org/10.1136/bcr-2018-225589

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    Footnotes

    • Contributors SB conceived reporting this case report. He studied the literature and created the draft. He met the patient after discharge and obtained his informed consent for publishing the paper. OL treated the patient and conducted the follow-up during hospitalisation. He contributed to paper revision. GD was responsible for patient’s treatment and revised the versions of the manuscript. All authors approve the submission of this manuscript. All authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.