跳带来的伤寒是COVID-19的模仿者:关于四例病例的报告
Bradley V Dye1, Jose Alejandro Coba2, Christopher L Dayton3,4
1Department of Medicine, University of Texas Health San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Case reports in infectious diseases
|February 22, 2024
概括
跳传播的伤寒 (FBT) 可以模仿COVID-19的症状和实验室结果,导致误诊. 认可FBT的行为
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 内部医学 内部医学
背景情况:
- 跳传染性伤寒 (FBT),由*Rickettsia typhi*和*R. felis*引起,呈现出发烧,皮疹和器官干扰.
- 肺部表现,包括咳和胸部X射线异常,发生在FBT患者的很大一部分.
- FBT与2019年冠状病毒疾病 (COVID-19) 有临床和实验室相似之处,使诊断复杂化.
研究的目的:
- 突出FBT和COVID-19之间的症状和实验室发现重叠所带来的诊断挑战.
- 为了说明可用性偏差如何导致临床医生怀疑COVID-19超过不太常见的疾病,如FBT.
主要方法:
- 对四名被诊断患有FBT的患者进行了回顾性病例系列分析.
- 对临床表现,实验室数据和初步诊断考虑的审查.
- FBT和COVID-19的临床和实验室特征的比较.
主要成果:
- 这四名患者最初都有症状,实验室发现表明COVID-19.
- 关键的区分特征包括在FBT中更高的转氨酶升高,皮疹和血小板狭窄的患病率.
- 这些病例强调了由于COVID-19在临床意识中的突出地位而导致诊断错误的可能性.
结论:
- 在发烧性疾病的差异诊断中应考虑FBT,特别是当肺部症状存在时.
- 临床医生必须意识到可用性偏差,以避免误诊FBT为COVID-19.
- 快速而准确的FBT诊断对于适当的治疗和公共卫生管理至关重要.
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