en Internal Internal case report case report <span style="font-family:times new roman;"><span style="color:#0000FF;"><strong><em>Background:</em></strong></span> Persistent hiccups can be a debilitating symptom and many such patients present to the emergency department seeking relief. A variety of serious conditions have been associated with persistent hiccups. Cases of pneumonia as a cause of hiccups have been rarely described.<br> <span style="color:#0000FF;"><strong><em>Case presentation:</em></strong> </span>A 79-year-old male patient presented to the hospital due to persistent hiccups for 4 days. Despite lack of new respiratory symptoms or fever, a chest x-ray demonstrated a left lower lobe consolidation, which was also confirmed with a chest CT. The patient was treated with levofloxacin and at 1-month follow-up hiccups had completely resolved, while a repeat chest CT demonstrated resolution of the consolidation.<br> <span style="color:#0000FF;"><strong><em>Conclusions:</em></strong></span> The presentation of pneumonia in elderly patients may be atypical and may lack the symptoms and signs observed in younger patients. Hiccups may be the main presenting symptom of pneumonia.</span> hiccups, singultus, pneumonia, chlorpromazine, hypotension 403 405 http://caspjim.com/browse.php?a_code=A-10-833-1&slc_lang=en&sid=1 Stamatis Karakonstantis stamkar2003@gmail.com 100319475328460014078 100319475328460014078 Yes 2nd Department of Internal Medicine, General Hospital of Heraklion “Venizeleio-Pananeio”, Leoforos Knossou, Heraklion, Greece Sofia Pitsigavdaki sofiamed@windowslive.com 100319475328460014079 100319475328460014079 No 2nd Department of Internal Medicine, General Hospital of Heraklion “Venizeleio-Pananeio”, Leoforos Knossou, Heraklion, Greece Dafni Korela koreladafni@hotmail.com 100319475328460014080 100319475328460014080 No 2nd Department of Internal Medicine, General Hospital of Heraklion “Venizeleio-Pananeio”, Leoforos Knossou, Heraklion, Greece Despoina Galani desgal@windowslive.com 100319475328460014081 100319475328460014081 No 2nd Department of Internal Medicine, General Hospital of Heraklion “Venizeleio-Pananeio”, Leoforos Knossou, Heraklion, Greece