Bertaux Adrien, Alameda Beatriz, Tataw James, Kenfak Alain
Service de médecine interne, Hôpital du Jura bernois, 2740 Moutier.
Service de médecine interne, Hôpital du Jura bernois, 2610 Saint-Imier.
Rev Med Suisse. 2020 Dec 9;16(718):2392-2396.
In connection with the scope and duration of the COVID-19 pandemic, the clinical judgement of clinicians and medical practitioners could be influenced such that diagnostic errors (delays and inaccuracies) may ensue. We hereby recall through two clinical scenarios the constant need for practitioners to take a step back in reflecting of the diagnostic process to avoid the « tunnel effect » which may result in delaying common and frequent infectious diseases. The flu-like symptoms presented by these patients (fever, myalgia and asthenia…) quickly prompted our emergency room colleagues to suspect SARS-CoV-2 infection. However, further investigations including imagery and blood cultures revealed completely different but common infectious disease conditions, which are potentially fatal.
鉴于新冠疫情的范围和持续时间，临床医生和医学从业者的临床判断可能会受到影响，从而可能导致诊断错误（延误和不准确）。我们在此通过两个临床案例提醒从业者，始终需要回过头反思诊断过程，以避免可能导致常见且频发的传染病延误诊断的“隧道效应”。这些患者出现的流感样症状（发热、肌痛和乏力……）迅速促使我们急诊室的同事怀疑感染了新冠病毒。然而，包括影像学检查和血培养在内的进一步检查揭示了完全不同但常见的、可能致命的传染病情况。
