Diagnostic challenge of dyspnea in the context of the COVID-19 pandemic wave: a case report
Abstract Background Since its discovery, COVID-19 has often been the first diagnosis of dyspnea and asthenia, especially during the pandemic waves. However, it is not always COVID-19. We report a particular case of a late-diagnosed HIV-positive patient in Madagascar. Case presentation A 21-year-old...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-01-01
|
| Series: | The Egyptian Journal of Internal Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43162-023-00192-6 |
| _version_ | 1811171539732660224 |
|---|---|
| author | Zamelina Angela Razafindrasoa Sonia Marcelle Razafimpihanina Marie Odette Rasoafaranirina Fidy Arnauld Martin Finaritra Princy Parfait Andriamahenina Diamondra Ombanjanahary Andriarimanga Jocelyn Robert Rakotomizao Harison Michel Tiaray Joëlson Lovaniaina Rakotoson Rondro Nirina Raharimanana |
| author_facet | Zamelina Angela Razafindrasoa Sonia Marcelle Razafimpihanina Marie Odette Rasoafaranirina Fidy Arnauld Martin Finaritra Princy Parfait Andriamahenina Diamondra Ombanjanahary Andriarimanga Jocelyn Robert Rakotomizao Harison Michel Tiaray Joëlson Lovaniaina Rakotoson Rondro Nirina Raharimanana |
| author_sort | Zamelina Angela Razafindrasoa |
| collection | DOAJ |
| description | Abstract Background Since its discovery, COVID-19 has often been the first diagnosis of dyspnea and asthenia, especially during the pandemic waves. However, it is not always COVID-19. We report a particular case of a late-diagnosed HIV-positive patient in Madagascar. Case presentation A 21-year-old male patient was admitted to a hospital center in Antananarivo for dyspnea and poor general condition. Physical examination revealed hypoxemia of 85% on room air. His chest X-ray showed bilateral reticular-micronodular opacities. He was suspected and treated for COVID-19. On the 15th day of hospitalization, HIV-1 infection complicated by probable pneumocystis was diagnosed. On the other hand, a multimetastatic testicular cancer was also suspected. The patient died after a few hours of hospitalization in the intensive care unit. Conclusion This was a case of an HIV-positive patient belatedly diagnosed in the complications stage during the COVID-19 pandemic wave. The investigation of the differential diagnoses remains crucial to avoid serial misdiagnosis and to adjust therapeutic management. |
| first_indexed | 2024-04-10T17:16:44Z |
| format | Article |
| id | doaj.art-ee09985277bb4db79177106ca1900751 |
| institution | Directory Open Access Journal |
| issn | 2090-9098 |
| language | English |
| last_indexed | 2024-04-10T17:16:44Z |
| publishDate | 2023-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Internal Medicine |
| spelling | doaj.art-ee09985277bb4db79177106ca19007512023-02-05T12:24:20ZengSpringerOpenThe Egyptian Journal of Internal Medicine2090-90982023-01-013511410.1186/s43162-023-00192-6Diagnostic challenge of dyspnea in the context of the COVID-19 pandemic wave: a case reportZamelina Angela Razafindrasoa0Sonia Marcelle Razafimpihanina1Marie Odette Rasoafaranirina2Fidy Arnauld Martin3Finaritra Princy Parfait Andriamahenina4Diamondra Ombanjanahary Andriarimanga5Jocelyn Robert Rakotomizao6Harison Michel Tiaray7Joëlson Lovaniaina Rakotoson8Rondro Nirina Raharimanana9Centre Hospitalier Universitaire FenoarivoCentre Hospitalier Universitaire FenoarivoCentre Hospitalier Universitaire TambohobeCentre Hospitalier Universitaire FenoarivoCentre Hospitalier Universitaire FenoarivoCentre Hospitalier Universitaire FenoarivoCentre Hospitalier Universitaire Joseph Raseta BefelatananaCentre Hospitalier Universitaire Joseph Raseta BefelatananaCentre Hospitalier Universitaire Joseph Raseta BefelatananaCentre Hospitalier Universitaire FenoarivoAbstract Background Since its discovery, COVID-19 has often been the first diagnosis of dyspnea and asthenia, especially during the pandemic waves. However, it is not always COVID-19. We report a particular case of a late-diagnosed HIV-positive patient in Madagascar. Case presentation A 21-year-old male patient was admitted to a hospital center in Antananarivo for dyspnea and poor general condition. Physical examination revealed hypoxemia of 85% on room air. His chest X-ray showed bilateral reticular-micronodular opacities. He was suspected and treated for COVID-19. On the 15th day of hospitalization, HIV-1 infection complicated by probable pneumocystis was diagnosed. On the other hand, a multimetastatic testicular cancer was also suspected. The patient died after a few hours of hospitalization in the intensive care unit. Conclusion This was a case of an HIV-positive patient belatedly diagnosed in the complications stage during the COVID-19 pandemic wave. The investigation of the differential diagnoses remains crucial to avoid serial misdiagnosis and to adjust therapeutic management.https://doi.org/10.1186/s43162-023-00192-6Case reportCOVID-19HIVInfectionMadagascar |
| spellingShingle | Zamelina Angela Razafindrasoa Sonia Marcelle Razafimpihanina Marie Odette Rasoafaranirina Fidy Arnauld Martin Finaritra Princy Parfait Andriamahenina Diamondra Ombanjanahary Andriarimanga Jocelyn Robert Rakotomizao Harison Michel Tiaray Joëlson Lovaniaina Rakotoson Rondro Nirina Raharimanana Diagnostic challenge of dyspnea in the context of the COVID-19 pandemic wave: a case report The Egyptian Journal of Internal Medicine Case report COVID-19 HIV Infection Madagascar |
| title | Diagnostic challenge of dyspnea in the context of the COVID-19 pandemic wave: a case report |
| title_full | Diagnostic challenge of dyspnea in the context of the COVID-19 pandemic wave: a case report |
| title_fullStr | Diagnostic challenge of dyspnea in the context of the COVID-19 pandemic wave: a case report |
| title_full_unstemmed | Diagnostic challenge of dyspnea in the context of the COVID-19 pandemic wave: a case report |
| title_short | Diagnostic challenge of dyspnea in the context of the COVID-19 pandemic wave: a case report |
| title_sort | diagnostic challenge of dyspnea in the context of the covid 19 pandemic wave a case report |
| topic | Case report COVID-19 HIV Infection Madagascar |
| url | https://doi.org/10.1186/s43162-023-00192-6 |
| work_keys_str_mv | AT zamelinaangelarazafindrasoa diagnosticchallengeofdyspneainthecontextofthecovid19pandemicwaveacasereport AT soniamarcellerazafimpihanina diagnosticchallengeofdyspneainthecontextofthecovid19pandemicwaveacasereport AT marieodetterasoafaranirina diagnosticchallengeofdyspneainthecontextofthecovid19pandemicwaveacasereport AT fidyarnauldmartin diagnosticchallengeofdyspneainthecontextofthecovid19pandemicwaveacasereport AT finaritraprincyparfaitandriamahenina diagnosticchallengeofdyspneainthecontextofthecovid19pandemicwaveacasereport AT diamondraombanjanaharyandriarimanga diagnosticchallengeofdyspneainthecontextofthecovid19pandemicwaveacasereport AT jocelynrobertrakotomizao diagnosticchallengeofdyspneainthecontextofthecovid19pandemicwaveacasereport AT harisonmicheltiaray diagnosticchallengeofdyspneainthecontextofthecovid19pandemicwaveacasereport AT joelsonlovaniainarakotoson diagnosticchallengeofdyspneainthecontextofthecovid19pandemicwaveacasereport AT rondronirinaraharimanana diagnosticchallengeofdyspneainthecontextofthecovid19pandemicwaveacasereport |