Delayed Diagnosis of Pulmonary Thromboembolism Due to Overfocus on COVID-19

The coronavirus disease 2019 (COVID-19) pandemic has made it difficult for physicians to follow their usual diagnostic processes. We present the case of a 25-year-old man with adjustment disorder who developed dyspnoea. He was concerned about COVID-19, but his test result was negative. After excludi...

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Main Authors: Yukinori Harada, Taro Shimizu
Format: Article
Language:English
Published: SMC MEDIA SRL 2020-10-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/2002
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author Yukinori Harada
Taro Shimizu
author_facet Yukinori Harada
Taro Shimizu
author_sort Yukinori Harada
collection DOAJ
description The coronavirus disease 2019 (COVID-19) pandemic has made it difficult for physicians to follow their usual diagnostic processes. We present the case of a 25-year-old man with adjustment disorder who developed dyspnoea. He was concerned about COVID-19, but his test result was negative. After excluding COVID-19, the physician concluded that his symptoms were related to his psychiatric condition. However, the patient was diagnosed with pulmonary thromboembolism by another physician. To avoid missing a diagnosis, physicians must practice zero-based thinking, regardless of COVID-19 concerns, and not be distracted from the patient's core problems.
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spelling doaj.art-205bd4c5f67441229821cf113841ec202022-12-22T00:07:03ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942020-10-0110.12890/2020_0020021618Delayed Diagnosis of Pulmonary Thromboembolism Due to Overfocus on COVID-19Yukinori Harada0Taro Shimizu1Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, JapanDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, JapanThe coronavirus disease 2019 (COVID-19) pandemic has made it difficult for physicians to follow their usual diagnostic processes. We present the case of a 25-year-old man with adjustment disorder who developed dyspnoea. He was concerned about COVID-19, but his test result was negative. After excluding COVID-19, the physician concluded that his symptoms were related to his psychiatric condition. However, the patient was diagnosed with pulmonary thromboembolism by another physician. To avoid missing a diagnosis, physicians must practice zero-based thinking, regardless of COVID-19 concerns, and not be distracted from the patient's core problems.https://www.ejcrim.com/index.php/EJCRIM/article/view/2002covid-19diagnostic errorspandemicpulmonary thromboembolism
spellingShingle Yukinori Harada
Taro Shimizu
Delayed Diagnosis of Pulmonary Thromboembolism Due to Overfocus on COVID-19
European Journal of Case Reports in Internal Medicine
covid-19
diagnostic errors
pandemic
pulmonary thromboembolism
title Delayed Diagnosis of Pulmonary Thromboembolism Due to Overfocus on COVID-19
title_full Delayed Diagnosis of Pulmonary Thromboembolism Due to Overfocus on COVID-19
title_fullStr Delayed Diagnosis of Pulmonary Thromboembolism Due to Overfocus on COVID-19
title_full_unstemmed Delayed Diagnosis of Pulmonary Thromboembolism Due to Overfocus on COVID-19
title_short Delayed Diagnosis of Pulmonary Thromboembolism Due to Overfocus on COVID-19
title_sort delayed diagnosis of pulmonary thromboembolism due to overfocus on covid 19
topic covid-19
diagnostic errors
pandemic
pulmonary thromboembolism
url https://www.ejcrim.com/index.php/EJCRIM/article/view/2002
work_keys_str_mv AT yukinoriharada delayeddiagnosisofpulmonarythromboembolismduetooverfocusoncovid19
AT taroshimizu delayeddiagnosisofpulmonarythromboembolismduetooverfocusoncovid19