Naslov
Madame, you are COVID neg....positive: when the PCR machine fails us; a case report

Autori
Delalić, Điđi ; Brežni, Tanja ; Prkačin, Ingrid

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
4th OsCon Book of Abstracts / Pavlović, Vedrana - Osijek : J.J.Strossmayer University of Osijek Faculty of Medicine, 2022, 70-70

ISBN
978-953-7736-56-9

Skup
4th International Translational Medicine Congress of Students and Young Physicians (OSCON 2022)

Mjesto i datum
Osijek, Hrvatska, 31.03.2022. - 02.04.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Recenziran

Ključne riječi
COPD ; COVID-19 ; False Negative Reaction

Sažetak
Introduction: With the COVID-19 pandemic in its peak, RT-PCR tests for SARS-CoV-2 detection have become a part of emergency physicians' decision making toolkits. Be it triage of patients, preventing breakthrough infections in the emergency ward or hospitalisation, the PCR test is a crutch to clinical accumen and physicians’ proper judgement on patient disposition. The question this case asks is - How confident can one be in the results of an RT-PCR test and what to do when the test fails us. Case presentation: A 36 year old patient presented to the ER in the afternoon hours with complaints of a productive cough since 7 days ago and periodic dyspnea 4 days ago. Her cough was accompanied by emesis of gastric contents and chest pain. The patient had a history of COPD from her 14 th year of life and was not vaccinated against COVID-19. The laboratory test values were within normal ranges, the chest x-ray was without noticeable pathology and the PCR test result was negative. She was administered an ipratropium bromide/albuterol inhalation, intravenous dexamethasone and was discharged home with a diagnosis of a COPD exacerbation. Three hours later, the attending physician was notified that there had been a mistake in the laboratory system and that the PCR test result was positive. Conclusion:While the PCR test is an important tool in our arsenal, we must remember to always use it in accordance with proper clinical reasoning and a thoroughly taken patient history.

Izvorni jezik
Engleski

Znanstvena područja
Biotehnologija u biomedicini (prirodno područje, biomedicina i zdravstvo, biotehničko područje)

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