Abstract
BACKGROUND: In times of coronavirus, a patient with respiratory symptoms whose chest CT scan reveals ground-glass opacities, COVID-19 may seem an obvious diagnosis. CASE DESCRIPTION: At the (currently assumed) peak of the coronavirus crisis, a 12-year-old boy was admitted to the hospital twice for severe respiratory symptoms. A chest CT scan revealed ground-glass opacities.COVID-19 pneumonia was initially thought of. However, it turned out to be a rare interstitial pulmonary disease. CONCLUSION: Due to the increased awareness about COVID-19, tunnel vision is lurking. Even during a health crisis, doctors should remain alert to alternative diagnoses.
Translated title of the contribution | A boy with a rare pulmonary disease; COVID-19 is clouding our judgment |
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Original language | Dutch |
Article number | 5214 |
Number of pages | 4 |
Journal | Nederlands Tijdschrift voor Geneeskunde |
Volume | 164 |
Publication status | Published - 17 Sept 2020 |
Keywords
- COVID-19/diagnosis epidemiology physiopathology psychology
- COVID-19 Testing
- Child
- Clinical Decision-Making
- Diagnosis, Differential
- Humans
- Judgment
- Lung/diagnostic imaging physiopathology
- Lung Diseases, Interstitial/diagnosis physiopathology
- Male
- SARS-CoV-2
- Symptom Assessment/methods
- Tomography, X-Ray Computed/methods