{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:29:35Z","timestamp":1786739375920,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Coronavirus disease (COVID-19) is the newly discovered infectious disease, affecting millions worldwide. Majority of the patients present with mild respiratory syndrome. Some neurological symptoms are reported like anosmia &amp; dysgeusia. We are presenting a case with hiccups as an unusual symptom. An elderly male patient presented to Bapuji teaching hospital attached to JJM medical college, Davangere on 24th July 2020 with intractable hiccups in the last 5 days. There were no other symptoms. Patient's saturation was initially 98% at room air which then dropped to 90%. Based on clinical knowhow, SARS-Cov-2 RNA qualitative RT-PCR test was sent, and the results came positive. Patient improved symptomatically in 2 days and was kept in ward for observation for a total of 7 days. This extremely rare case report brings to light new atypical symptom of COVID-19 are being presented every other day, which shows how the importance being aware of the same.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1582_20","type":"journal-article","created":{"date-parts":[[2021,2,26]],"date-time":"2021-02-26T15:18:45Z","timestamp":1614352725000},"page":"1040-1043","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Hiccups and hyponatremia: Unusual co-presentation in COVID-19"],"prefix":"10.4103","volume":"10","author":[{"given":"Samarth","family":"Sangamesh","sequence":"first","affiliation":[{"name":"Department of General Medicine, JJM Medical College, Davanagere, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddharth","family":"Gosavi","sequence":"additional","affiliation":[{"name":"Department of General Medicine, JJM Medical College, Davanagere, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank","family":"Shastry","sequence":"additional","affiliation":[{"name":"Department of General Medicine, JJM Medical College, Davanagere, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra M.","family":"Johny","sequence":"additional","affiliation":[{"name":"Department of General Medicine, JJM Medical College, Davanagere, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,2]]},"reference":[{"key":"R3-20260527","first-page":"e8518","article-title":"Atypical neurological manifestations of COVID-19","volume":"12","author":"Gupta","year":"2020","journal-title":"Cureus"},{"key":"R4-20260527","first-page":"e5","article-title":"Persistent hiccups as an atypical presenting complaint of COVID-19","volume":"38","author":"Prince","year":"2020","journal-title":"Am JEmergMed"},{"key":"R6-20260527","first-page":"116824","article-title":"Neurotropism of SARS CoV 2, mechanisms and manifestations","volume":"412","author":"Conde Cardona","year":"2020","journal-title":"JNeurolSci"},{"key":"R7-20260527","first-page":"1169","article-title":"Chronic hiccups: Anunderestimated problem","volume":"125","author":"Kohse","year":"2017","journal-title":"AnesthAnalg"},{"key":"R8-20260527","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1007\/s40618-020-01301-w","article-title":"Hyponatremia, IL-6, and SARS-CoV-2 (COVID-19) infection: May all fit together?","volume":"43","author":"Berni","year":"2020","journal-title":"J Endocrinol Invest"},{"key":"R9-20260527","first-page":"e00859","article-title":"Acute symptomatic hyponatremia in setting of SIADH as an isolated presentation of COVID-19","volume":"21","author":"Habib","year":"2020","journal-title":"ID Cases"},{"key":"R10-20260527","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/0736-4679(87)90256-3","article-title":"Persistent hiccups as an unusual manifestation of hyponatremia","volume":"5","author":"Jones","year":"1987","journal-title":"J Emerg Med"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1582_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:28:29Z","timestamp":1786735709000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1582_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":7,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1582_20","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2]]},"assertion":[{"value":"2020-08-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}