Clinical misdiagnosis of influenza infection with a confusing clinical course: A case report

Author:

Babazadeh Arefeh1ORCID,Mohseni Afshar Zeinab2ORCID,Barary Mohammad3ORCID,Hosseinzadeh Rezvan4ORCID,Ebrahimpour Soheil1ORCID

Affiliation:

1. Infectious Diseases and Tropical Medicine Research Center, Health Research Institute Babol University of Medical Sciences Babol Iran

2. Clinical Research Development Center, Imam Reza Hospital Kermanshah University of Medical Sciences Kermanshah Iran

3. Student Research Committee, Virtual School of Medical Education and Management Shahid Beheshti University of Medical Sciences Tehran Iran

4. Student Research Committee Babol University of Medical Sciences Babol Iran

Abstract

AbstractA 32‐year‐old woman with a history of hypothyroidism and major depressive disorder was admitted with severe weakness and somnolence. She had tachycardia and hypotension, indicative of severe dehydration, and was treated with a vasopressor and sodium bicarbonate, but her clinical manifestations deteriorated. A high‐resolution computed tomography (HRCT) scan showed a patchy ground glass appearance with interlobular septal thickening, suggesting pneumonia. Reverse transcription‐polymerase chain reaction (RT‐PCR) was requested for the influenza A virus (IAV), which was positive. The patient was treated with oseltamivir and discharged with improved clinical symptoms.

Publisher

Wiley

Subject

General Medicine

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