{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T12:36:35Z","timestamp":1776083795424,"version":"3.50.1"},"reference-count":2,"publisher":"SMC Media","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>During the COVID-19 pandemic, healthcare systems have faced unprecedented pressures. One challenge has been to promptly recognise non-COVID-19 conditions. Cognitive bias due to the availability heuristic may cause difficulties in reaching the correct diagnosis. Confirmation bias may also affect imaging interpretation. We report three cases with an alternative final diagnosis in whom COVID-19 was initially suspected: (a) Pneumocystis jirovecii pneumonia with unrecognised HIV infection; (b) pulmonary lymphangitis carcinomatosis; and (c) ST elevation myocardial infarction causing acute pulmonary oedema. To help mitigate bias, there is no substitute for thoughtful clinical assessment and critical appraisal when evaluating new information and formulating the differential diagnosis<\/jats:p>","DOI":"10.12890\/2021_002575","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T10:11:37Z","timestamp":1621937497000},"source":"Crossref","is-referenced-by-count":1,"title":["Diagnostic Bias in the COVID-19 Pandemic: A Series of Short Cases"],"prefix":"10.12890","volume":"8","author":[{"given":"Anete","family":"Zieda","sequence":"additional","affiliation":[{"name":"Milton Keynes University Hospital, Milton Keynes, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Sbardella","sequence":"additional","affiliation":[{"name":"Milton Keynes University Hospital, Milton Keynes, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malika","family":"Patel","sequence":"additional","affiliation":[{"name":"Milton Keynes University Hospital, Milton Keynes, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Smith","sequence":"additional","affiliation":[{"name":"Milton Keynes University Hospital, Milton Keynes, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2021,5,11]]},"reference":[{"key":"10.12890\/2021_002575_ref1","unstructured":"<li>World Health Organization. Rapid assessment of service delivery for NCDs during the COVID-19 pandemic. 29 May 2020. https:\/\/www.who.int\/who-documents-detail\/rapid-assessment-of-service-delivery-for-ncds-during-the-covid-19-pandemic (accessed 8 February 2021).<\/li>"},{"key":"10.12890\/2021_002575_ref2","doi-asserted-by":"crossref","unstructured":"<li>Aldujeli A, Hamadeh A, Briedis K, Tecson KM, Rutland J, Krivckas Z, et al. Delays in presentation in patients with acute myocardial infarction during the COVID-19 pandemic, <em>Cardiol Res<\/em> 2020;<strong>11<\/strong>(6):386\u2013391.<\/li>","DOI":"10.14740\/cr1175"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/2575\/2678","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/2575\/2679","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/2575\/2679","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T13:50:08Z","timestamp":1756129808000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/2575"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,11]]},"references-count":2,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.12890\/2021_002575","relation":{"has-manifestation":[{"id-type":"other","id":"1-71-2575-g2678","asserted-by":"subject"},{"id-type":"other","id":"1-71-2575-g2679","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-71","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"value":"2284-2594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,11]]},"article-number":"16"}}