Article ; Online: Even if it looks like COVID-19, think again: the importance of differential diagnosis during a pandemic.
2021 Volume 77, Issue 2, Page(s) 416–420
Abstract: ... of this clinical case is to highlight the importance of considering less prevalent causes of ARDS amid the COVID-19 ... history who demonstrated typical signs of COVID-19 at the start of the pandemic. Based ... on the disease course as well as CT-scan findings, a diagnosis of COVID-19 was made. She progressed to ARDS ...
| Abstract | Introduction: Antisynthetase syndrome (ASSD) is a rare auto-immune condition that can present as interstitial lung disease (ILD) and progress into Acute Respiratory Distress Syndrome (ARDS). Importance: The purpose of this clinical case is to highlight the importance of considering less prevalent causes of ARDS amid the COVID-19 pandemic. Case report: We present a 56-year-old Belgian female of African descent without past medical history who demonstrated typical signs of COVID-19 at the start of the pandemic. Based on the disease course as well as CT-scan findings, a diagnosis of COVID-19 was made. She progressed to ARDS for which she got intubated and was started on venovenous membrane oxygenation (VV-ECMO). Despite initial negative screening for antinuclear antibodies, further analysis revealed anti-Jo-antibodies. Diagnosis of ASSD was eventually retained and immunosuppressive therapy was started. However, pulmonary fibrosis had evolved too far and therapy was halted shortly after. |
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| MeSH term(s) | COVID-19 ; Diagnosis, Differential ; Extracorporeal Membrane Oxygenation ; Female ; Humans ; Middle Aged ; Pandemics ; SARS-CoV-2 | |||||
| Language | English | |||||
| Publishing date | 2021-01-15 | |||||
| Publishing country | England | |||||
| Document type | Case Reports ; Journal Article | |||||
| ZDB-ID | 390201-8 | |||||
| ISSN | 2295-3337 ; 0001-5512 ; 1784-3286 | |||||
| ISSN (online) | 2295-3337 | |||||
| ISSN | 0001-5512 ; 1784-3286 | |||||
| DOI | 10.1080/17843286.2021.1872312 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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