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COVID-19-Associated Cognitive Biases on Pneumonia Differential Diagnosis.

التفاصيل البيبلوغرافية
العنوان: COVID-19-Associated Cognitive Biases on Pneumonia Differential Diagnosis.
المؤلفون: Cruz P; Medical Oncology, Portuguese Oncology Institute of Porto, Porto, PRT., Meireles AM; Hematological Oncology, Portuguese Oncology Institute of Porto, Porto, PRT., Santos M; Internal Medicine, Portuguese Oncology Institute of Porto, Porto, PRT., Rodrigues MR; Internal Medicine, Portuguese Oncology Institute of Porto, Porto, PRT.
المصدر: Cureus [Cureus] 2024 Feb 28; Vol. 16 (2), pp. e55144. Date of Electronic Publication: 2024 Feb 28 (Print Publication: 2024).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: The coronavirus disease 2019 (COVID-19) pandemic favors cognitive biases such as anchoring and availability biases. The first refers to overvaluing some of the initial information and establishing a diagnosis too early, with resistance to future adjustments. The latter happens when diagnoses more frequently considered are regarded as more common in reality. This case, in which the correct diagnosis was delayed due to these biases, highlights the need to remain aware of them as a means toward timely diagnosis and therapeutic success of pneumonia cases. An 84-year-old woman presented with a mild non-productive cough for two months and fever. She had a history of breast carcinoma treated with radiotherapy in the previous year. Computerized tomography (CT) showed extensive bilateral consolidation foci with ground-glass-opacification areas and bilateral pleural effusion, CO-RADS 3. COVID-19 with bacterial superinfection was suspected and levofloxacin was initiated. Nasopharyngeal swab polymerase chain reaction (PCR) was carried out three times, always negative for SARS-CoV-2. As the patient remained with fever and cough, the antibiotic was escalated to piperacillin/tazobactam and then to meropenem/vancomycin. She underwent bronchofibroscopy and alveolar lavage, with negative SARS-CoV-2 PCR. The re-evaluation CT scan maintained bilateral consolidations, with an aerial bronchogram. The biopsy of pulmonary consolidation allowed the diagnosis of radiation-induced organizing pneumonia. Prednisolone was initiated and achieved clinical remission and radiological improvement. This case highlights the need to remain aware of cognitive biases both when COVID-19 is suspected or ruled out and to consider other diagnoses when there is a lack of therapeutic response.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Cruz et al.)
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فهرسة مساهمة: Keywords: clinical case report; covid-19; heuristics and biases; organizing pneumonia; pneumonia; radiation-induced organizing pneumonia
تواريخ الأحداث: Date Created: 20240401 Latest Revision: 20240403
رمز التحديث: 20240403
مُعرف محوري في PubMed: PMC10979816
DOI: 10.7759/cureus.55144
PMID: 38558668
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.55144