At morning report his week we discussed an immune suppressed elderly male with CLL who presented with confusion and hiccuping, and was found to have cryptococcal meningtis. A star rising R3, Aziz Hammoud had some great teaching points about this case, check out the attached pdf!
Also, what does hiccuping have to do with it? At morning report, we learned that “central causes of hiccup include stroke, space occupying lesions and injury etc, whereas peripheral causes include lesions along the arc such as tumors, myocardial ischemia, herpes infection, gastroesophageal reflux disease and applied instrumentations on human body etc”.
Check out the PubMed article below for an interesting read: