COVID Blindness: Delayed Diagnosis of Aseptic Meningitis in the COVID-19 Era
KeywordsCOVID-19, COVID blindness, diagnostic error
Diagnostic errors are a serious problem in healthcare. The diagnostic process is highly susceptible to cognitive bias and the current COVID-19 pandemic may cause normally accurate healthcare workers to make incorrect decisions. We report a case of aseptic meningitis that required five healthcare visits before it was correctly diagnosed. This case highlights the risk of anchoring bias and the importance of carefully assessing diagnostic processes during the COVID-19 pandemic.
Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J Hosp Med 2020;15(6):363–366.
Brown L. COVID blindness. Diagnosis (Berl) 2020;7(2):83–84.
Mamede S, de Carvalho-Filho MA, de Faria RMD, Franci D, Nunes MPT, Ribeiro LMC, et al. ‘Immunizing’ physicians against availability bias in diagnostic reasoning: a randomized controlled experiment. BMJ Qual Saf 2020;29(7):550–559.
Romoli M, Jelcic I, Bernard-Valnet R, Garcia Azorin D, Mancinelli L, Akhvlediani T, et al. A systematic review of neurological manifestations of SARS-CoV-2 infection: the devil is hidden in the details. Eur J Neurol 2020 Jun 5;10.1111/ene.14382. doi: 10.1111/ene.14382. Online ahead of print.
Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA 2020;323(11):1061–1069.
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