Clinical Case Reports (Apr 2023)

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

  • Arefeh Babazadeh,
  • Zeinab Mohseni Afshar,
  • Mohammad Barary,
  • Rezvan Hosseinzadeh,
  • Soheil Ebrahimpour

DOI
https://doi.org/10.1002/ccr3.7196
Journal volume & issue
Vol. 11, no. 4
pp. n/a – n/a

Abstract

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Abstract A 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.

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