Chiriboga Jose D, Garcia Jonathan, Garcia Daniel, Mena Santiago, Leon-Rojas Jose E
"Incubadora de Investigación en Medicina" (InMed), NeurALL Nest, Quito, ECU.
Maestria en Investigación en Ciencias de la Salud, Universidad Internacional del Ecuador, Quito, ECU.
Cureus. 2022 Jul 1;14(7):e26493. doi: 10.7759/cureus.26493. eCollection 2022 Jul.
COVID-19 has become one of the main causes of febrile illness among emergency department patients and is always a differential diagnosis to keep in mind. Nonetheless, some patients with a history of exposure, persistent fever, and suspicion of COVID-19 end up having entirely different etiologies. Here, we present the case of a 29-year-old male biologist with an uncommon presentation of a zoonotic disease, characterized by unspecific signs and symptoms, which led to a delayed diagnosis, causing significant emotional distress in the patient. We also coin the term "COVID-19 Mirage," to serve as a constant reminder for clinicians of the effect that COVID-19 has caused on the differential diagnosis of fever of unknown etiology.
新型冠状病毒肺炎（COVID-19）已成为急诊科发热患者的主要病因之一，始终是需要考虑的鉴别诊断。尽管如此，一些有接触史、持续发热且疑似感染COVID-19的患者最终却有完全不同的病因。在此，我们报告一例29岁男性生物学家的病例，其感染一种人畜共患病，表现不常见，具有非特异性体征和症状，导致诊断延迟，给患者造成了极大的精神痛苦。我们还创造了“COVID-19幻影”一词，以不断提醒临床医生COVID-19对不明原因发热鉴别诊断的影响。
