Affiliation:
1. Clinic of Infectious Diseases, G. d’Annunzio” University Chieti-Pescara, Italy
Abstract
Background:
The current COVID-19 pandemic has attracted great attention from the
medical world. In the past year, there have been reports of missed or delayed treatments for conditions
that mimic COVID-19. The main symptoms caused by SARS-CoV-2, such as fever and
cough, belong to different clinical conditions. It is of the utmost importance that the diagnostic
thinking used to analyze data and information to reach a COVID-19 diagnosis does not overlook
the plethora of different diagnoses related to these symptoms.
Case report:
The aim of this work is to present the clinical case of a patient having unrecognized
HIV infection with a 4-week history of fever, cough, and hypoxia. When tests were allowed to
highlight HIV-related immunodeficiency status, a CMV assay was performed in order to evaluate
opportunistic pneumonia. Through this, diagnosis of HIV combined with CMV pneumonia was
made, thus excluding COVID-19 respiratory insufficiency.
Conclusion:
The diagnosis of the two conditions in the COVID-19 era is challenging due to overlapping
clinical and radiological features and limitations of current diagnostic assays. This causes
clinical implications due to diagnostic delays.
Publisher
Bentham Science Publishers Ltd.
Subject
Virology,Infectious Diseases
Cited by
2 articles.
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