A teenager with fever, chest pain, and respiratory distress during the coronavirus disease 2019 pandemic: a lesson on anchoring bias.

Autor: Karn MN; Department of Emergency and Hospital Medicine/University of South Florida, Morsani College of Medicine Lehigh Valley Health Network Allentown Pennsylvania USA., Johnson NP; Department of Emergency and Hospital Medicine/University of South Florida, Morsani College of Medicine Lehigh Valley Health Network Allentown Pennsylvania USA., Yaeger SK; Lehigh Valley Health Network, Department of Emergency and Hospital Medicine Division of Pediatric Emergency Medicine/University of South Florida, Morsani College of Medicine Allentown Pennsylvania USA., Fugok KL; Lehigh Valley Health Network, Department of Emergency and Hospital Medicine Division of Pediatric Emergency Medicine/University of South Florida, Morsani College of Medicine Allentown Pennsylvania USA.
Jazyk: angličtina
Zdroj: Journal of the American College of Emergency Physicians open [J Am Coll Emerg Physicians Open] 2020 Sep 26; Vol. 1 (6), pp. 1392-1394. Date of Electronic Publication: 2020 Sep 26 (Print Publication: 2020).
DOI: 10.1002/emp2.12261
Abstrakt: Symptoms of coronavirus disease 2019 overlap with other important illnesses affecting young adults. We report a case of a 17-year old male presenting to the emergency department in the midst of a pandemic with symptoms of coronavirus disease 2019. He had fever, dyspnea, chest pain, and myalgias, with bilateral infiltrates on chest radiograph, and developed septic shock secondary to infectious thromboembolic events. However, his blood cultures grew group G streptococcus secondary to his oropharyngeal infection, and he experienced an infectious thrombus in the internal jugular vein, consistent with the rare but well-described Lemierre's syndrome. This case report calls attention to the importance of maintaining differential diagnoses and thereby minimizing the biases and assumptions that come with clinical care during a pandemic.
Competing Interests: The authors have no additional outside support information, conflicts, or financial interest to disclose.
(© 2020 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of the American College of Emergency Physicians.)
Databáze: MEDLINE
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