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Corrigendum to "Second round statewide sentinel-based population survey for estimation of the burden of active infection and anti-SARS-CoV-2 IgG antibodies in the general population of Karnataka, India, during January-February 2021" [IJID Regions Vol 1(2021) pages 107-116].

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Related Experiment Video

Updated: Feb 13, 2026

Identification of Fatty Acids in Bacillus cereus

Identification of Fatty Acids in Bacillus cereus

Published on: December 5, 2016

Blindsided by the Monospot test.

Jawaid Akhtar¹, Brian Fung¹, Michael Reily¹

¹1University of Pittsburgh Medical Center, Emergency Medicine, Pittsburgh, PA, USA.

Diagnosis (Berlin, Germany)

|March 16, 2018

Summary

A missed diagnosis of B-lymphoblastic leukemia/lymphoma occurred due to cognitive errors and electronic health record limitations. Early detection of atypical lymphocytes is crucial for accurate medical diagnosis.

Keywords:

Monospot clinical reasoning diagnostic error electronic health record electronic medical record lymphoma patient safety premature closure

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Last Updated: Feb 13, 2026

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Area of Science:

Medical diagnosis
Hematology
Oncology

Background:

A 20-year-old male presented with bilateral forearm paresthesias, initially diagnosed as ulnar neuropraxia.
Persistent symptoms led to further investigation for neuritis.

Observation:

A positive Monospot test suggested infectious mononucleosis, leading to patient discharge.
A critical comment on the complete blood count regarding absolute lymphocytosis with atypical lymphocytes and rare blasts was overlooked.

Findings:

The overlooked blood count results, potentially missed due to electronic medical record display limitations, were key.
A subsequent outpatient diagnosis confirmed B-lymphoblastic leukemia/lymphoma via flow cytometry.

Implications:

This case underscores the impact of cognitive biases, such as premature closure, in clinical decision-making.
It highlights the need for improved data visualization in electronic health records to prevent diagnostic errors.