COVID-19大流行期间的误诊:1例最初诊断为冠状病毒感染的淋巴瘤

Pouria Sobhanian Kafshgarkolaee, A. Bakhshipour, H. Ghazvini, Seyedeh Masoumeh Seyedhosseini Tamijani, Azar Ramezani, Raheleh Rafaiee
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摘要

导言:在2019年冠状病毒病(COVID-19)大流行期间,医生承担了主要工作并承担了大量工作,导致职业倦怠,从而影响了患者安全,降低了护理质量,并增加了误诊。在2019冠状病毒病大流行期间,医生本应保持警惕,并了解导致医疗差错的潜在情况。特别是,传染病的流行会给淋巴瘤的诊断带来严重的挑战。病例表现:本病例报告为一淋巴瘤患者,表现为咳嗽、发烧、呼吸短促,并与COVID-19检测呈阳性的家庭成员有接触史,导致诊断和治疗延迟、疾病进展,最终导致患者死亡。在COVID-19大流行期间,人们的注意力从其他可能的诊断中转移,从而错过了淋巴瘤作为一种潜在的可治疗疾病。结论:在疫情期间,虽然要求医生对COVID-19保持警惕,但也不能忽视其他疾病。据报道,延迟开始癌症治疗,即使是一个月,也会使死亡风险增加约10%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Misdiagnosis During the COVID-19 Pandemic: A Case of Lymphoma Initially Diagnosed as Coronavirus Infection
Introduction: During the coronavirus disease 2019 (COVID-19) pandemic, physicians delivered a leading part and carried a high work volume, leading to burnout, which subsequently compromised patient safety, decreased the quality of care, and increased misdiagnosis. In the course of the COVID-19 pandemic, physicians should have been vigilant and informed about the potential conditions resulting in medical errors. Particularly, epidemics of infectious illnesses can cause serious challenges in lymphoma diagnosis. Case Presentation: This case report presents a patient with lymphoma presenting with cough, fever, shortness of breath, and a history of contact with her family members who tested positive for COVID-19, which caused delayed diagnosis and treatment, disease progression, and finally, the death of the patient. In the course of the COVID-19 pandemic, the center of attention was detracted from other possible diagnoses, thereby missing lymphoma as a potentially treatable disease. Conclusions: Although physicians are required to be watchful for COVID-19 amid the pandemic, it is also necessary not to neglect other diseases. A delay in the initiation of cancer therapy, even for one month, has been reported to increase the risk of mortality by approximately 10%.
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