Clinical misdiagnosis of influenza infection with a confusing clinical course: A case report

Abstract A 32‐year‐old woman with a history of hypothyroidism and major depressive disorder was admitted with severe weakness and somnolence. She had tachycardia and hypotension, indicative of severe dehydration, and was treated with a vasopressor and sodium bicarbonate, but her clinical manifestati...

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Main Authors: Arefeh Babazadeh, Zeinab Mohseni Afshar, Mohammad Barary, Rezvan Hosseinzadeh, Soheil Ebrahimpour
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.7196
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author Arefeh Babazadeh
Zeinab Mohseni Afshar
Mohammad Barary
Rezvan Hosseinzadeh
Soheil Ebrahimpour
author_facet Arefeh Babazadeh
Zeinab Mohseni Afshar
Mohammad Barary
Rezvan Hosseinzadeh
Soheil Ebrahimpour
author_sort Arefeh Babazadeh
collection DOAJ
description Abstract A 32‐year‐old woman with a history of hypothyroidism and major depressive disorder was admitted with severe weakness and somnolence. She had tachycardia and hypotension, indicative of severe dehydration, and was treated with a vasopressor and sodium bicarbonate, but her clinical manifestations deteriorated. A high‐resolution computed tomography (HRCT) scan showed a patchy ground glass appearance with interlobular septal thickening, suggesting pneumonia. Reverse transcription‐polymerase chain reaction (RT‐PCR) was requested for the influenza A virus (IAV), which was positive. The patient was treated with oseltamivir and discharged with improved clinical symptoms.
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spelling doaj.art-259cb0b034b442af80b48d8ea6e48fe42024-02-17T08:51:08ZengWileyClinical Case Reports2050-09042023-04-01114n/an/a10.1002/ccr3.7196Clinical misdiagnosis of influenza infection with a confusing clinical course: A case reportArefeh Babazadeh0Zeinab Mohseni Afshar1Mohammad Barary2Rezvan Hosseinzadeh3Soheil Ebrahimpour4Infectious Diseases and Tropical Medicine Research Center, Health Research Institute Babol University of Medical Sciences Babol IranClinical Research Development Center, Imam Reza Hospital Kermanshah University of Medical Sciences Kermanshah IranStudent Research Committee, Virtual School of Medical Education and Management Shahid Beheshti University of Medical Sciences Tehran IranStudent Research Committee Babol University of Medical Sciences Babol IranInfectious Diseases and Tropical Medicine Research Center, Health Research Institute Babol University of Medical Sciences Babol IranAbstract A 32‐year‐old woman with a history of hypothyroidism and major depressive disorder was admitted with severe weakness and somnolence. She had tachycardia and hypotension, indicative of severe dehydration, and was treated with a vasopressor and sodium bicarbonate, but her clinical manifestations deteriorated. A high‐resolution computed tomography (HRCT) scan showed a patchy ground glass appearance with interlobular septal thickening, suggesting pneumonia. Reverse transcription‐polymerase chain reaction (RT‐PCR) was requested for the influenza A virus (IAV), which was positive. The patient was treated with oseltamivir and discharged with improved clinical symptoms.https://doi.org/10.1002/ccr3.7196COVID‐19diagnostic errorsH1N1 subtypehumaninfluenza A virusinfluenza
spellingShingle Arefeh Babazadeh
Zeinab Mohseni Afshar
Mohammad Barary
Rezvan Hosseinzadeh
Soheil Ebrahimpour
Clinical misdiagnosis of influenza infection with a confusing clinical course: A case report
Clinical Case Reports
COVID‐19
diagnostic errors
H1N1 subtype
human
influenza A virus
influenza
title Clinical misdiagnosis of influenza infection with a confusing clinical course: A case report
title_full Clinical misdiagnosis of influenza infection with a confusing clinical course: A case report
title_fullStr Clinical misdiagnosis of influenza infection with a confusing clinical course: A case report
title_full_unstemmed Clinical misdiagnosis of influenza infection with a confusing clinical course: A case report
title_short Clinical misdiagnosis of influenza infection with a confusing clinical course: A case report
title_sort clinical misdiagnosis of influenza infection with a confusing clinical course a case report
topic COVID‐19
diagnostic errors
H1N1 subtype
human
influenza A virus
influenza
url https://doi.org/10.1002/ccr3.7196
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