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1

Ziso, B., and AJ Larner. "040 AD8: Likelihood to diagnose or misdiagnose." Journal of Neurology, Neurosurgery & Psychiatry 90, no. 12 (2019): A20.1—A20. http://dx.doi.org/10.1136/jnnp-2019-abn-2.65.

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ObjectiveTo analyse data from two previously published individual studies and two meta-analyses of the Ascertain Dementia 8 (AD8) cognitive screening instrument to calculate the recently described ‘likelihood to be diagnosed or misdiagnosed’ (LDM) metric, the ratio of ‘number needed to misdiagnose’ (NNM = 1/Inaccuracy) to either ‘number needed to diagnose’ (NND = 1/Youden index) or ‘number needed to predict’ (NNP = 1/predictive summary index).ResultsRaw data (true positives and negatives, false positives and negatives) were extracted and LDM values for the diagnosis of dementia were calculated
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Teson, F. R. "When Philosophers Misdiagnose." Analysis 74, no. 1 (2014): 107–18. http://dx.doi.org/10.1093/analys/ant111.

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Habibzadeh, Farrokh, and Mahboobeh Yadollahie. "Number Needed to Misdiagnose." Epidemiology 24, no. 1 (2013): 170. http://dx.doi.org/10.1097/ede.0b013e31827825f2.

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Levin, Aaron. "ED Physicians Often Misdiagnose Psychosis." Psychiatric News 41, no. 21 (2006): 20–32. http://dx.doi.org/10.1176/pn.41.21.0020.

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KIRK, PATRICIA L. "Don't Misdiagnose Hydrocephalus as Dementia." Clinical Psychiatry News 34, no. 6 (2006): 38. http://dx.doi.org/10.1016/s0270-6644(06)71504-1.

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MACNEIL, JANE SALODOF. "Developmental Abnormalities Easy to Misdiagnose." Ob.Gyn. News 40, no. 6 (2005): 8–9. http://dx.doi.org/10.1016/s0029-7437(05)70082-3.

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MOON, MARY ANN. "Doctors Often Misdiagnose Creutzfeldt-Jakob." Internal Medicine News 45, no. 17 (2012): 18–19. http://dx.doi.org/10.1016/s1097-8690(12)70745-x.

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Larner, A. J. "Number Needed to Diagnose, Predict, or Misdiagnose: Useful Metrics for Non-Canonical Signs of Cognitive Status?" Dementia and Geriatric Cognitive Disorders Extra 8, no. 3 (2018): 321–27. http://dx.doi.org/10.1159/000492783.

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Background/Aims: “Number needed to” metrics may hold more intuitive appeal for clinicians than standard diagnostic accuracy measures. The aim of this study was to calculate “number needed to diagnose” (NND), “number needed to predict” (NNP), and “number needed to misdiagnose” (NNM) for neurological signs of possible value in assessing cognitive status. Methods: Data sets from pragmatic diagnostic accuracy studies examining easily observed and dichotomised neurological signs (“attended alone” sign, “attended with” sign, head turning sign, applause sign, la maladie du petit papier) were analysed
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Kaya, Erhan, Halit Yerebakan, Daniel Spielman, Omer Isik, and Cevat Yakut. "Acute Type-A Aortic Dissection with Obstruction of the Right Coronary Artery." Heart Surgery Forum 17, no. 4 (2014): 196. http://dx.doi.org/10.1532/hsf98.2013246.

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Occlusion of a coronary artery by an acute type A aortic dissection presents a life-threatening emergency that is rarely seen and easy to misdiagnose. We present the case of a 75-year-old male who experienced sudden onset of severe left-sided chest pain due to an acute type A aortic dissection that obstructed the right coronary artery. Following an initial misdiagnosis of acute coronary syndrome, imaging revealed the presence of an aortic dissection. An emergency modified Bentall procedure was performed, in which the damaged aorta and aortic valve were replaced.
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Suzanna, Ella, Aziyah Binti Pehin Dato Hj Yaakub, and Nurul Izzah Binti Shari. "Misdiagnosis Overview by Mental Health Professionals in Malaysia and Indonesia." Jurnal Psikologi Terapan (JPT) 1, no. 2 (2020): 63. http://dx.doi.org/10.29103/jpt.v1i2.2878.

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The purpose of this paper to look at how and why misdiagnosis happen among the psychiatrists or psychologists in Malaysia and Indonesia today and what made them changed their earlier diagnosis. This study also aims to find out if these Muslim mental health providers have incorporated any spiritual or Islamic dimension(s) into their treatment or psychotherapy since Malaysia and Indonesia have quite a number of Muslim psychiatrists and psychologists. The result showed that both of the Malaysian psychiatrists that we interviewed mentioned bipolar disorder as the disorder that they can easily misd
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SCHNEIDER, MARY ELLEN. "Nondermatologist Physicians Often Misdiagnose Skin Lesions." Internal Medicine News 38, no. 8 (2005): 38. http://dx.doi.org/10.1016/s1097-8690(05)70392-9.

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MACNEIL, JANE SALODOF. "Vulvar, Vaginal Abnormalities Easy to Misdiagnose." Skin & Allergy News 36, no. 4 (2005): 43. http://dx.doi.org/10.1016/s0037-6337(05)70120-0.

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Bui, Quynh-Anh, Robert Farrell, Luis Rigales, and Irwin Hoffman. "Why Do Computer Programs Misdiagnose Flutter?" American Journal of Medicine 129, no. 11 (2016): e289-e290. http://dx.doi.org/10.1016/j.amjmed.2016.06.042.

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van Lummel-de Graaf, Heleen, and Suzan Sahin. "Transiënte osteoporose of Charcot? Voorkom misdiagnose." Podosophia 26, no. 2 (2018): 76–81. http://dx.doi.org/10.1007/s12481-018-0198-5.

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15

Ruppel, G. L., J. M. Haynes, and D. A. Kaminsky. "FEV1/FEV6 May Misdiagnose Patients With COPD." Respiratory Care 61, no. 7 (2016): 999–1001. http://dx.doi.org/10.4187/respcare.04650.

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Devine, Oliver, Andrew Harborne, Joshua Kearsley, and Ashley Vardon. "Hold my hand while you misdiagnose me." Clinical Teacher 13, no. 5 (2016): 388. http://dx.doi.org/10.1111/tct.12522.

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Ali, Mahdavi Seif, Raeesi Ahmad, Faraji Leyla, Youssefi Mohammad Reza, and Rahimi Mohammad Taghi. "A case of misdiagnose of malaria infection." Asian Pacific Journal of Tropical Biomedicine 3, no. 9 (2013): 748–50. http://dx.doi.org/10.1016/s2221-1691(13)60150-1.

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Novais, C., M. Marinho, M. Mota Oliveira, M. Bragança, A. Côrte-Real, and S. Fonseca. "Misdiagnose bipolar disorder: About a case report." European Psychiatry 41, S1 (2017): S425. http://dx.doi.org/10.1016/j.eurpsy.2017.01.393.

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IntroductionEarly stages of bipolar disorder are sometimes misdiagnosed as depressive disorders. This symptomatology can lead to misinterpretation and under diagnosis of bipolar disorders.Objectives/aimsTo describe a patient with a new diagnosis of bipolar disorder after 23 years of psychiatric care.MethodsWe report a case of a 66-year-old man, with a previous psychiatric diagnosis of recurrent depressive disorder for the last 23 years, after a hospitalization in a psychiatric inpatient unit because of a major depressive episode. In subsequent years, he was regularly followed in psychiatric co
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Wenyong, Yang. "A Case of Cartagenet's Syndrome Presenting as a Solid Pulmonary Lesion." Journal of Medical Case Studies 2, no. 1 (2024): 1–4. http://dx.doi.org/10.23880/jmcs-16000111.

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Background: Cartagena syndrome is a very rare disease with typical clinical manifestations of chronic sinusitis, bronchiectasis, and visceral inversion. Although it is not difficult to diagnose, many physicians do not pay enough attention to it, and it is often misdiagnosed or underdiagnosed. Here, we describe a patient with Cartagena syndrome who presented with solid pulmonary lesions on admission to the hospital. Case Details: A 15-year-old young woman with clinical symptoms such as cough, expectoration, nasal congestion, and runny nose came to the hospital this time due to the aggravation o
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20

Patel, Ketan, Daniel J. Smith, Christopher C. Huntley, et al. "Exploring the causes of COPD misdiagnosis in primary care: A mixed methods study." PLOS ONE 19, no. 3 (2024): e0298432. http://dx.doi.org/10.1371/journal.pone.0298432.

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Background Within primary care there exists a cohort of patients misdiagnosed with Chronic Obstructive Pulmonary Disease (COPD). Misdiagnosis can have a detrimental impact on healthcare finances and patient health and so understanding the factors leading to misdiagnosis is crucial in order to reduce misdiagnosis in the future. The objective of this study is to understand and explore the perceived causes of COPD misdiagnosis in primary care. Methods A sequential mixed methods study, quantifying prevalence and features of patients misdiagnosed with COPD in primary care followed by a qualitative
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Wang, S., J. Zhou, and X. Diao. "FEV1/FEV6 May Misdiagnose Patients With COPD--Reply." Respiratory Care 61, no. 7 (2016): 1001. http://dx.doi.org/10.4187/respcare.04912.

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Chanarin, L. "How to diagnose (and not misdiagnose) pernicious anaemia." Blood Reviews 1, no. 4 (1987): 280–83. http://dx.doi.org/10.1016/0268-960x(87)90030-0.

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Dzefi-Tettey, Klenam, Emmanuel Kobina Mesi Edzie, Philip Narteh Gorleku, Henry Kusodzi, and Abdul Raman Asemah. "Asymptomatic Familial Multiple Cerebral Cavernous Malformation in a 73-Year-Old Woman." Case Reports in Radiology 2021 (May 21, 2021): 1–7. http://dx.doi.org/10.1155/2021/9974776.

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Cerebral cavernous malformations (CCMs) are dilated blood vessels which can develop sporadically or in familial form and are the commonest malformations of blood vessels in the spinal cord and brain. The familial form is an autosomal dominant gene mutation disorder. This condition can be diagnosed with magnetic resonance imaging (MRI) and computed tomography (CT) scan, but the modality of choice is MRI because of its high sensitivity. We report a case of a 73-year-old woman with an asymptomatic multiple familial cerebral cavernous malformation (FCCM) which was previously misdiagnosed as multip
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Berlin, Irwin M. "Community-Acquired Pneumonia: Evaluation of Coding Errors, Clinical Misdiagnose." Chest 124, no. 4 (2003): 184S. http://dx.doi.org/10.1378/chest.124.4_meetingabstracts.184s.

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Weller, K. "Heat urticaria - easy to diagnose but also to misdiagnose." British Journal of Dermatology 175, no. 3 (2016): 454–55. http://dx.doi.org/10.1111/bjd.14729.

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Plebani, Mario, and Giuseppe Lippi. "To err is human. To misdiagnose might be deadly." Clinical Biochemistry 43, no. 1-2 (2010): 1–3. http://dx.doi.org/10.1016/j.clinbiochem.2009.07.002.

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Liu, Shifei, Rui Yuan, Yulan Jin, Chunyan He, Xingzheng Zheng, and Yang Zhan. "Clinicopathological Features of Inflammatory Myofibroblastic Tumor in the Breast." Breast Journal 2022 (August 12, 2022): 1–6. http://dx.doi.org/10.1155/2022/1863123.

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Inflammatory myofibroblastic tumor (IMT) is a mesenchymal spindle cell tumour with low malignant potential which is extremely rare in breasts. Because of the lack of typical imaging and clinical characteristics of IMT, it is easy to misdiagnose before operation. We now report a case of a 37-year-old woman presenting with a mass in her left breast. Ultrasound showed a well-circumscribed lesion in the lower outer quadrant. The patient underwent lumpectomy, and histopathology revealed a tumor which was composed of fusiform cells and inflammatory cells. Immunohistochemistry (IHC) showed tumor cell
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Nataprawira, Heda Melinda, Dadang Hudaya Somasetia, Sri Sudarwati, Minerva Kadir, and Nanan Sekarwana. "Critical Pertussis in a Young Infant Requiring Mechanical Ventilation." Case Reports in Emergency Medicine 2013 (2013): 1–3. http://dx.doi.org/10.1155/2013/125043.

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Pertussis may likely be misdiagnosed in its initial or catarrhal phase as a common respiratory infection. The earlier diagnosis of pertussis really depends on the capability of the medical professional especially in the first line public health services. The lack of awareness in diagnosis of severe pertussis as one of the causes of severe respiratory problems may likely misdiagnose pertussis as respiratory failure or even septic shock. In fact, pertussis may manifest as a critical pertussis which can be fatal due to the respiratory failure that require pediatric intensive care unit using mecha
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Morais, Humberto, Valdano Manuel, and Fidel M Cáceres-Loriga. "Misdiagnose of acute aortic dissection: Case report acute aortic dissection." Journal of Integrative Cardiology 2, no. 4 (2016): 322–24. http://dx.doi.org/10.15761/jic.1000168.

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Tardieu, M., Z. Maakaroun-Vermesse, and F. Labarthe. "Case Definition of Encephalitis May Misdiagnose Congenital Urea Cycle Disorders." Clinical Infectious Diseases 58, no. 10 (2014): 1492–93. http://dx.doi.org/10.1093/cid/ciu121.

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Galiatsou, E., and G. Nakos. "Transfusion-related acute lung injury: easy to misdiagnose or overlook." Acta Anaesthesiologica Scandinavica 49, no. 10 (2005): 1575. http://dx.doi.org/10.1111/j.1399-6576.2005.00845.x.

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Myers, Hannah E., Subhapradha Rangarajan, Michael Roberts, Christopher Buckley, and Josh Hammel. "Verruciform Xanthoma Presenting Within an Ear Piercing." Indian Journal of Dermatology 69, no. 5 (2024): 411–13. http://dx.doi.org/10.4103/ijd.ijd_244_23.

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Abstract Verruciform xanthomas are rare lesions affecting 0.025-0.5% of the population. They present as an asymptomatic, slow growing solitary lesion on the oral mucosa. Commonly misdiagnose as squamous cell carcinoma, verruca vulgaris, leukoplakia, and lichen planus. Presented is a 22 year old male with a painful verruciform xanthoma on the posterior ear lobe in a prior ear piercing.
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Sen, Ahana, Ruchira Chowdhury, Sanatombi Thounaojam, et al. "CSCR with full-thickness retinal fold: An atypical presentation." Indian Journal of Ophthalmology - Case Reports 4, no. 2 (2024): 485–87. http://dx.doi.org/10.4103/ijo.ijo_3193_23.

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We are reporting an atypical presentation of full-thickness retinal fold in central serous chorioretinopathy (CSCR) in a 30-year-old male. Thick retinal folds in the setting of CSCR is not yet described and can pose a diagnostic dilemma. It is important not to misdiagnose CSCR as inappropriate management may lead to severe visual impairment.
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34

Telford Rose, Sulare L., Kay T. Payne, Tamirand N. De Lisser, Ovetta L. Harris, and Martine Elie. "A Comparative Phonological Analysis of Guyanese Creole and Standard American English: A Guide for Speech-Language Pathologists." Perspectives of the ASHA Special Interest Groups 5, no. 6 (2020): 1813–19. http://dx.doi.org/10.1044/2020_persp-20-00173.

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Purpose Speech-language pathologists (SLPs) are responsible for differentially diagnosing a speech or language difference versus disorder. However, in the absence of data on particular cultural or linguistic groups, misdiagnosis increases. This study seeks to bridge the gap in available resources for SLPs focusing on the phonological features of Guyanese Creole (GC), a Caribbean English–lexified Creole. This study addresses the following question: What are the differences between the phonological features of GC and Standard American English (SAE), which may potentially cause SLPs to misdiagnos
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35

Cazzato, Gerardo, Alessandro Massaro, Anna Colagrande, et al. "Artificial Intelligence Applied to a First Screening of Naevoid Melanoma: A New Use of Fast Random Forest Algorithm in Dermatopathology." Current Oncology 30, no. 7 (2023): 6066–78. http://dx.doi.org/10.3390/curroncol30070452.

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Malignant melanoma (MM) is the “great mime” of dermatopathology, and it can present such rare variants that even the most experienced pathologist might miss or misdiagnose them. Naevoid melanoma (NM), which accounts for about 1% of all MM cases, is a constant challenge, and when it is not diagnosed in a timely manner, it can even lead to death. In recent years, artificial intelligence has revolutionised much of what has been achieved in the biomedical field, and what once seemed distant is now almost incorporated into the diagnostic therapeutic flow chart. In this paper, we present the results
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Du, Tianyi. "Attention-based MobileNet for Effective Recognition of Brain Tumors." Highlights in Science, Engineering and Technology 138 (May 11, 2025): 220–25. https://doi.org/10.54097/w7h5x374.

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Brain tumor is a very dangerous disease, which often causes human death. When the consulting doctor is inexperienced, it is easy to misdiagnose and cause serious consequences. Therefore, accurate and timely identification of brain tumors from Magnetic Resonance Imaging (MRI) images is crucial due to the life-threatening nature of this disease and the potential consequences of misdiagnosis. To address this challenge, this research employs a neural network model for brain tumor identification, incorporating model fusion techniques to enhance accuracy. Specifically, the study compares the perform
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37

Solomon, Andrew J., Robert T. Naismith, and Anne H. Cross. "Misdiagnosis of multiple sclerosis." Neurology 92, no. 1 (2018): 26–33. http://dx.doi.org/10.1212/wnl.0000000000006583.

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Misdiagnosis of multiple sclerosis (MS) (the incorrect assignment of a diagnosis of MS) remains a problem in contemporary clinical practice. Studies indicate that misdiagnosed patients are often exposed to prolonged unnecessary health care risks and morbidity. The recently published 2017 revision of the McDonald criteria for the diagnosis of MS provides an opportunity to consider the effect of these revisions on the problem of MS misdiagnosis. The 2017 McDonald criteria include several new recommendations to reduce potential for misdiagnoses. The criteria should be used for the types of patien
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Kim, Hong Il, Chan Yee Kwak, and Eon Ju Park. "Staphylococcal Scalded Skin Syndrome in a Healthy Adult: Easy to Misdiagnose." Archives of Hand and Microsurgery 23, no. 4 (2018): 271. http://dx.doi.org/10.12790/ahm.2018.23.4.271.

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Song, Yuh-Min, and Ming-Der Chen. "A single determination of liver copper concentration may misdiagnose Wilson’s disease." Clinical Biochemistry 33, no. 7 (2000): 589–90. http://dx.doi.org/10.1016/s0009-9120(00)00164-8.

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Margolis, Russell L. "Nonpsychiatrist House Staff Frequently Misdiagnose Psychiatric Disorders in General Hospital Inpatients." Psychosomatics 35, no. 5 (1994): 485–91. http://dx.doi.org/10.1016/s0033-3182(94)71743-6.

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Marks, Stephen D., and Kjell Tullus. "Do classification criteria of Takayasu arteritis misdiagnose children with fibromuscular dysplasia?" Pediatric Nephrology 25, no. 5 (2010): 989–90. http://dx.doi.org/10.1007/s00467-009-1419-z.

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Telich-Tarriba, Jose E., Osvaldo I. Guevara-Valmaña, David F. Navarro-Barquín, and Andre Victor-Baldin. "Carpometacarpal Joint Dislocations: Management and Long-Term Outcomes at a Specialized Hand Surgery Center in Latin America." Plastic Surgery 28, no. 4 (2020): 210–14. http://dx.doi.org/10.1177/2292550320933690.

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Carpometacarpal joint dislocations are uncommon hand injuries. These dislocations are usually misdiagnosed due to their non-specific clinical signs and tend to be difficult to identify in simple X-rays. We report our experience in the management of carpometacarpal bone dislocations at a specialized hand surgery center. Patients with carpometacarpal dislocations seen at the emergency department between 2013 and 2017 were included. All patients were treated with either closed reduction and percutaneous pinning (CRPP) or open reduction and internal fixation (ORIF). Postoperative functional assess
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43

Jerald, Arathy, Sebastian Criton, K. V. Mohamed Nazeer, Usha Mary Abraham, and S. Divya. "CD30+ anaplastic large-cell lymphoma masquerading as lupus vulgaris – A case report." Journal of Skin and Sexually Transmitted Diseases 1 (December 2, 2019): 94–96. http://dx.doi.org/10.25259/jsstd_30_2019.

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Primary cutaneous anaplastic large-cell lymphoma (PC-ALCL) constitutes 9% of cutaneous T-cell lymphoma, which usually presents as a solitary ulcerating nodule or indurated plaque but sometimes has varied presentations mimicking eczema to squamous cell carcinoma. In our case, PC-ALCL presented as a noduloulcerative lesion. Since PC-ALCL is rare, there is a high chance to misdiagnose and hence high index of suspicion is necessary.
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Oen-Hsiao, Joyce M., Walter N. Kernan, Catherine M. Viscoli, et al. "Risk Factors for Misdiagnosis of Subarachnoid and Intracerebral Hemorrhage." Stroke 32, suppl_1 (2001): 322. http://dx.doi.org/10.1161/str.32.suppl_1.322-b.

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35 Objectives. To identify risk factors for misdiagnosis of brain hemorrhage in younger patients. Methods. We performed a nested case-control study among 702 subjects from the Hemorrhagic Stroke Project (HSP). The HSP enrolled men and women ages 18–49 years hospitalized during 1994–1999 for a subarachnoid (SAH) or intracerebral (ICH) hemorrhage in 4 U.S. regions. Case subjects were HSP patients who did not receive an appropriate diagnostic evaluation within 24 hours of consulting a physician. Appropriate evaluation was recognized when a brain CT scan and (if CT negative) LP were completed with
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Lee, Chang-Hyun, Young Sub Jung, and Sang Hyung Lee. "Hydrocephalus as a Presenting Manifestation of Neurosarcoidosis : Easy to Misdiagnose as Tuberculosis." Journal of Korean Neurosurgical Society 48, no. 1 (2010): 79. http://dx.doi.org/10.3340/jkns.2010.48.1.79.

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Medeiros, A. M., A. C. Alves, and M. Bourbon. "65 MILDER PHENOTYPE OF RELATIVES OF INDEX PATIENTS CAN MISDIAGNOSE FAMILIAL HYPERCHOLESTEROLEMIA." Atherosclerosis Supplements 12, no. 1 (2011): 16. http://dx.doi.org/10.1016/s1567-5688(11)70066-6.

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Flora, Akshay, and Annika Smith. "Netherton’s Syndrome: A Case of Two Male Siblings Diagnosed in Adulthood." Case Reports in Dermatology 12, no. 1 (2020): 64–69. http://dx.doi.org/10.1159/000507359.

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Netherton’s syndrome (NS) is a rare autosomal recessive genetic disease caused by a germline mutation in the SPINK5 gene. It is most commonly diagnosed in neonates due to the presence of congenital ichthyosiform erythroderma. Affected individuals will typically also develop a hair shaft abnormality known as trichorrhexis invaginata, severe atopy, and a migratory rash known as ichythyosis linearis circumflexa. The chronicity and severity of NS adversely affects a patient’s quality of life to a large extent. It Is therefore important that this condition is identified early, and treatment to redu
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Ngichabe, Sammy, and Mandeep Sura. "Placenta Percreta in a Gravid Bicornuate Unicollis Uterus." Case Reports in Obstetrics and Gynecology 2017 (2017): 1–3. http://dx.doi.org/10.1155/2017/4082182.

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Background. Identifying bicornuate uterus can be challenging especially as a cause of early pregnancy bleeding. On ultrasonographic examination, it is difficult to misdiagnose pregnancy in a bicornuate uterus as an ectopic pregnancy due to the continuity of the endometrium. A rudimentary horn of a bicornuate uterus in early pregnancy can occasionally be misdiagnosed for an ectopic pregnancy especially when compounded by severe abdominal pains and supportive sonographic evidence. Myometrial invasive grading of placenta may be necessary for emergency preparedness and consenting. Hemihysterectomy
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Amine, Meskine, Chlouchi Abdelletif, Moujahid Azedine, H. A. El Ghadbane, Mohammzd Drissi, and Abdelouahed Baite. "Kounis Syndrome: Case Report, Pathophysiology and Management." Scholars Journal of Medical Case Reports 10, no. 2 (2022): 143–46. http://dx.doi.org/10.36347/sjmcr.2022.v10i02.025.

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Kounis syndrome is an acute coronary syndrome occurring in a context of anaphylaxis, it still an underdiagnosed syndrome. The prognosis of Kounis syndrome remains better than a conventional acute coronary syndrome, we describe 3types of Kounis syndrome with different kind of management, however further management guidelines are still needed to avoid misdiagnose or make the prognosis worse. We report a case of 24 years old Kounis syndrome after a sting of bee, its management in our ED.
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Barben, Jérémy, Valérie Quipourt, Jérémie Vovelle, Alain Putot, and Patrick Manckoundia. "Not COVID-19, Don’t Overlook Pneumocystis in Patients on Gefitinib!" Current Oncology 28, no. 1 (2021): 961–64. http://dx.doi.org/10.3390/curroncol28010094.

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An 82-year-old woman treated for advanced lung cancer with gefitinb was admitted to the emergency unit complaining of dyspnea. Chest computed tomography found abnormalities classified as possible diffuse COVID-19 pneumonia. RT-PCR for Sars-Cov-2 was twice negative. PCR for Pneumocystis jirovecii was positive on bronchoalveolar lavage. The final diagnosis was Pneumocystis jirovecii pneumonia. Therefore, physicians must be careful not to misdiagnose COVID-19, especially in cancer patients on small-molecule therapeutics like gefitinib and corticosteroids.
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