{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T02:44:04Z","timestamp":1761965044705,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,10,13]]},"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>A 71-year-old patient was admitted due to fever and persistent (&gt;48\u2009hours) 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\u2009hours 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.<\/jats:p>","DOI":"10.1136\/bcr-2018-225589","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T17:19:47Z","timestamp":1545153587000},"page":"e225589","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Rare clinical manifestation of community-acquired pneumonia"],"prefix":"10.1136","volume":"11","author":[{"given":"Shay","family":"Brikman","sequence":"first","affiliation":[{"name":"Internal Medicine E, Emek Medical Center, Afula, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omri","family":"Levi","sequence":"additional","affiliation":[{"name":"Internal Medicine E, Emek Medical Center, Afula, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guy","family":"Dori","sequence":"additional","affiliation":[{"name":"Internal Medicine E, Emek Medical Center, Afula, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,11,28]]},"reference":[{"key":"2025082804265483000_11.1.e225589.1","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1183\/09031936.93.06040563","article-title":"Hiccup in adults: an overview","volume":"6","author":"Launois","year":"1993","journal-title":"Eur Respir J"},{"key":"2025082804265483000_11.1.e225589.2","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1111\/apt.13374","article-title":"Systemic review: the pathogenesis and pharmacological treatment of hiccups","volume":"42","author":"Steger","year":"2015","journal-title":"Aliment Pharmacol Ther"},{"key":"2025082804265483000_11.1.e225589.3","first-page":"203","article-title":"Hiccough as a presenting symptom of primary atypical pneumonia","volume":"86","author":"Laha","year":"1951","journal-title":"Ind Med Gaz"},{"key":"2025082804265483000_11.1.e225589.4","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1097\/01.SMJ.0000125174.62424.C6","article-title":"Pneumonia presenting as singultus","volume":"97","author":"Burdette","year":"2004","journal-title":"South Med J"},{"key":"2025082804265483000_11.1.e225589.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3062.2005.00096.x"},{"key":"2025082804265483000_11.1.e225589.6","doi-asserted-by":"crossref","first-page":"1550","DOI":"10.1016\/S0140-6736(08)60660-1","article-title":"Sinister hiccups","volume":"371","author":"Yamazaki","year":"2008","journal-title":"Lancet"},{"key":"2025082804265483000_11.1.e225589.7","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1007\/s10072-011-0927-3","article-title":"Legionellosis presenting as singultus and external ophthalmoplegia","volume":"33","author":"Konno","year":"2012","journal-title":"Neurol Sci"},{"key":"2025082804265483000_11.1.e225589.8","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.ejim.2013.12.001","article-title":"The management of community-acquired pneumonia in the elderly","volume":"25","author":"Faverio","year":"2014","journal-title":"Eur J Intern Med"},{"key":"2025082804265483000_11.1.e225589.9","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1016\/j.jemermed.2017.05.035","article-title":"Emergency medicine evaluation of community-acquired pneumonia: History, examination, imaging and laboratory assessment, and risk scores","volume":"53","author":"Long","year":"2017","journal-title":"J Emerg Med"},{"key":"2025082804265483000_11.1.e225589.10","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1016\/j.jpainsymman.2015.09.013","article-title":"Gender differences in hiccup patients: analysis of published case reports and case-control studies","volume":"51","author":"Lee","year":"2016","journal-title":"J Pain Symptom Manage"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bcr-2018-225589","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225589","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:27:09Z","timestamp":1756380429000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225589"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,11,28]]},"published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1136\/bcr-2018-225589"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225589","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,11]]}}}