Document Type
Article
Publication Date
2020
Keywords
COVID-19, fever
Digital Object Identifier (DOI)
https://doi.org/10.1002/emp2.12261
Abstract
Symptoms of coronavirus disease 2019 overlap with other important illnesses affecting young adults. We report a case of a 17-year old male presenting to the emergency department in the midst of a pandemic with symptoms of coronavirus disease 2019. He had fever, dyspnea, chest pain, and myalgias, with bilateral infiltrates on chest radiograph, and developed septic shock secondary to infectious thromboembolic events. However, his blood cultures grew group G streptococcus secondary to his oropharyngeal infection, and he experienced an infectious thrombus in the internal jugular vein, consistent with the rare but well-described Lemierre's syndrome. This case report calls attention to the importance of maintaining differential diagnoses and thereby minimizing the biases and assumptions that come with clinical care during a pandemic.
Rights Information
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Was this content written or created while at USF?
Yes
Citation / Publisher Attribution
Journal of the American College of Emergency Physicians Open, v. 1, issue 6, p. 1392-1394
Scholar Commons Citation
Karn, Michele N.; Johnson, Nicholas P.; Yaeger, Susan K.; and Fugok, Kimberly L., "A Teenager with Fever, Chest Pain, and Respiratory Distress during the Coronavirus Disease 2019 Pandemic: a Lesson on Anchoring Bias" (2020). Internal Medicine Faculty Publications. 249.
https://digitalcommons.usf.edu/intmed_facpub/249
