Clin Case Rep . Clinical misdiagnosis of influenza infection with a confusing clinical course: A case report

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Clin Case Rep


. 2023 Apr 12;11(4):e7196.
doi: 10.1002/ccr3.7196. eCollection 2023 Apr.
Clinical misdiagnosis of influenza infection with a confusing clinical course: A case report


Arefeh Babazadeh ¹ , Zeinab Mohseni Afshar ² , Mohammad Barary ³ , Rezvan Hosseinzadeh ⁴ , Soheil Ebrahimpour ¹



Affiliations

• PMID: 37064735
• PMCID: PMC10098425
• DOI: 10.1002/ccr3.7196

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.

Keywords: COVID‐19; H1N1 subtype; diagnostic errors; human; influenza; influenza A virus.