Hiccups and psychosis: two atypical presentations of COVID-19

Abstract The WHO defines a possible case of COVID-19 as person experiencing fever, cough, shortness breath, and neurological signs including anosmia, ageusia, or dysgeusia. However, experiences from hospitals all over the world have shown that presentations vary widely. Some atypical include cardiac, gastrointestinal, neurological, cutaneous while some are driven by inflammatory response, others consequence hypercoagulable state. In our emergency department in private hospital Mexico City, we received two patients with very different symptoms on same shift. Two previously healthy men their 40s presented to ER manifestations COVID-19. Neither them complained breath. first referred 3-day history hiccups had not resolved metoclopramide. second an acute episode altered mental status. While revealed lung involvement disease, clean chest CT scan. These cases relevant widely, especially young adults.