A COVID-19 Infection with a Clinical Misdiagnosis and a perplexing Clinical course

Author(s): Gillian Watermeyer*

Similarities within the symptom course and alternative manifestations of some diseases could cause clinical misdiagnosis of COVID-19 infection. Here, we have a tendency to report a case in an exceedingly young kid with a doubtless confusing clinical course. A 29-monthold boy given with a 2-month history of fever, His PCR takes a look at for COVID-19 was positive, and there was serosa effusion and positive findings within the lower left lobe of the respiratory organ on computerized tomography scan. Mid-sized hypertrophy was found on abdominal ultrasound, and laboratory tests disclosed cytopenia. In light-weight of the atypical white blood corpuscle counts in laboratory tests, he underwent bone marrow aspiration. The urged identification was hemophagocytic lymphohistiocytosis, and Pediapred was initiated. Afterwards, Leishman-Donovan bodies were seen within the bone marrow aspirate, and treatment was started with antibiotic drug, that light-emitting diode to clinical improvement. In cases with imprecise clinical symptoms in tropical countries wherever alternative infectious diseases occur, doable synchronal infection ought to be thought of even throughout a plague. Familiarity with the doable differential diagnoses and acceptable, gradual thought to rule out alternative doable cause’s area unit required all told things, and therefore the existence of communicable disease ought to be thought of in evaluating the clinical conditions of patients in tropical countries.