https://doi.org/10.4081/itjm.2024.1805

A misleading miscellanea: a COVID-19 patient with fever and cytopenia

Vol. 18 No. 4 (2024)
Published: 4 November 2024
Pancytopenia, Leishmania, fever, splenomegaly
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Authors

Pietro Bocchi
pietro.bocchi@ausl.pr.it
https://orcid.org/0009-0007-1935-3809
Department of Internal Medicine, Ospedale di Vaio, Fidenza (PR), Italy.
Lara Zerbini
https://orcid.org/0009-0007-1630-2854
Department of Internal Medicine, Ospedale di Vaio, Fidenza (PR), Italy.
Elisa Gnappi
https://orcid.org/0009-0004-7273-0528
Department of Internal Medicine, Ospedale di Vaio, Fidenza (PR), Italy.
Maurizio Ziliotti
Department of Internal Medicine, Ospedale di Vaio, Fidenza (PR), Italy.
Marco Pesci
https://orcid.org/0000-0003-4995-3219
Department of Hepatology and Infectious Diseases, Azienda Ospedaliero-Universitaria di Parma, Italy.
Luisa Craviotto
Department of Hematology, Bone Marrow Transplant Center, Azienda Ospedaliero-Universitaria di Parma, Italy.
Michele Meschi
Department of Internal Medicine, Ospedale di Vaio, Fidenza (PR), Italy.

Complex clinical cases characterized by the coexistence of multiple pathologies and, consequently, multiple signs and symptoms shared by various pathological entities can hide pitfalls that may lead to incorrect diagnostic conclusions due to cognitive biases. Here, we present the case of a man who presents hyperpyrexia, progressive pancytopenia, and splenomegaly in the context of a SARS-CoV-2-related infection; the final diagnosis will be different from the initial diagnostic hypothesis.

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How to Cite

Bocchi, P., Zerbini, L., Gnappi, E., Ziliotti, M., Pesci, M., Craviotto, L., & Meschi, M. (2024). A misleading miscellanea: a COVID-19 patient with fever and cytopenia. Italian Journal of Medicine, 18(4). https://doi.org/10.4081/itjm.2024.1805
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