误诊为COVID-19的人畜共患发热性疾病:临床病例报告综述

Q2 Medicine Infezioni in Medicina Pub Date : 2023-01-01 DOI:10.53854/liim-3102-3
Carlos Ramiro Silva-Ramos, Julián A Mejorano-Fonseca, Alfonso J Rodríguez-Morales, Marylin Hidalgo, Álvaro A Faccini-Martínez
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引用次数: 0

摘要

COVID-19是由SARS-CoV-2引起的人畜共患冠状病毒病。它通过气溶胶传播的快速传播使其成为一种高度传染性疾病,导致了最近的2020年大流行。虽然它主要影响呼吸系统,但已经描述了该疾病的非典型形式,包括发展为无呼吸道症状的未分化发热性疾病,这可能是诊断上的挑战,主要是在几种人畜共患发热性疾病流行的热带地区。因此,尽管COVID-19具有广泛的临床谱系,但在热带地区,应始终将其他人畜共患病因视为鉴别诊断。根据我们的病例报告回顾,在4个数据库的现有科学文献中报告了8种不同的人畜共患发热性疾病被误诊为COVID-19。这些只是由于流行病学历史而被怀疑。因此,对热带地区的发热病人进行完整和详细的临床病史,对于怀疑病因和要求进行必要的确认性检查至关重要。因此,必须将COVID-19纳入热带地区未分化发热性疾病的鉴别诊断,但不能排除其他人畜共患传染病。
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Zoonotic febrile illnesses misdiagnosed as COVID-19: a review of reported clinical cases.

COVID-19 is a zoonotic coronavirus disease caused by SARS-CoV-2. Its fast spreading by aerosol transmission has made it a highly contagious disease, causing the most recent 2020 pandemic. Although it mainly affects the respiratory system, atypical forms of the disease have been described, including developing an undifferentiated febrile illness without respiratory symptoms, that can represent a diagnostic challenge, mainly in tropical areas where several zoonotic febrile diseases are circulating. Thus, despite the broad clinical spectrum of COVID-19, in the tropics, other zoonotic etiologies should always be considered as differential diagnoses. According to our case reports review, eight different zoonotic febrile diseases misdiagnosed as COVID-19 have been reported in the available scientific literature of four databases. These were only suspected due to the epidemiological history. Thus, making a complete and detailed clinical history of a febrile patient in the tropics is essential to suspect the etiology and request the necessary confirmatory tests. Therefore, COVID-19 must be included as a differential diagnosis of undifferentiated febrile illness in the tropics, but other zoonotic infectious diseases must not be ruled out.

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来源期刊
Infezioni in Medicina
Infezioni in Medicina Medicine-Infectious Diseases
CiteScore
8.40
自引率
0.00%
发文量
62
期刊介绍: The Journal publishes original papers, in Italian or in English, on topics concerning aetiopathogenesis, prevention, epidemiology, diagnosis, clinical features and therapy of infections, whose acceptance is subject to the referee’s assessment. The Journal is of interest not only to infectious disease specialists, microbiologists and pharmacologists, but also to internal medicine specialists, paediatricians, pneumologists, and to surgeons as well. The Editorial Board includes experts in each of the above mentioned fields.
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