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[一名患有罕见肺部疾病的男孩;新冠疫情正使我们的判断力蒙上阴影]

[A boy with a rare pulmonary disease; COVID-19 is clouding our judgment].

作者信息

van Gansewinkel Tessa A G, de Rooy Rick, Latten Gideon, Krdzalic Jasenko, Rosias Philippe R

机构信息

Zuyderland Medisch Centrum, Sittard/Geleen. Afd. Kindergeneeskunde.

Contact: Tessa A.G. van Gansewinkel (

出版信息

Ned Tijdschr Geneeskd. 2020 Sep 17;164:D5214.

Abstract

BACKGROUND

In times of coronavirus, a patient with respiratory symptoms whose chest CT scan reveals ground-glass opacities, COVID-19 may seem an obvious diagnosis.

CASE DESCRIPTION

At the (currently assumed) peak of the coronavirus crisis, a 12-year-old boy was admitted to the hospital twice for severe respiratory symptoms. A chest CT scan revealed ground-glass opacities.COVID-19 pneumonia was initially thought of. However, it turned out to be a rare interstitial pulmonary disease.

CONCLUSION

Due to the increased awareness about COVID-19, tunnel vision is lurking. Even during a health crisis, doctors should remain alert to alternative diagnoses.

摘要

背景

在新冠疫情期间,一名有呼吸道症状且胸部CT扫描显示磨玻璃影的患者,新冠病毒病(COVID-19)可能看似是显而易见的诊断。

病例描述

在(目前假定的)新冠疫情高峰期,一名12岁男孩因严重呼吸道症状两次入院。胸部CT扫描显示磨玻璃影。最初考虑为COVID-19肺炎。然而,结果却是一种罕见的间质性肺病。

结论

由于对COVID-19的认识增加,可能会出现视野狭隘的情况。即使在健康危机期间,医生也应警惕其他诊断。

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