Author/Authors :
Kazempour, Muhanna Department of Internal Medicine - Loghman- Hakim Hospital - Shahid Beheshti of Medical Science, Tehran, Iran , Oroei, Mahbobeh Community Medicine Specialist - Hearing Disorders Research Center - Loghman- Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran , Shabani, Minoosh Infectious Disease and Tropical Medicine Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Faghihi Langroudi, Taraneh Department of Radiology - Shahid Beheshti of Medical Science, Tehran, Iran
Abstract :
The initial manifestation of emphysematous pyelonephritis (EPN)
with hiccups is extremely rare. We report a 47-year-old diabetic man
with complaint of persistent hiccups as the first manifestation. Class
3B EPN was confirmed based on findings of Contrast-enhanced
abdominal multi-slice CT scan. There were no neurologic deficits,
Medications that lead to hiccups and gastrointestinal dysfunction.
Our patient was treated with antimicrobial therapy and double J
stenting. His hiccups completely resolved in one week and had
no relapse.