Secret Sarcoma: A Cardiac Mass Disguised as Influenza

This case presentation discusses an extremely rare diagnosis presenting with common symptoms, attributed to influenza, which were not investigated further when clear cardiac symptoms developed. The patient initially presented with symptoms consistent with influenza, but when orthopnea and dyspnea on...

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Main Authors: Christopher DeZorzi, Katherine I. Harris
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2018/8628365
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author Christopher DeZorzi
Katherine I. Harris
author_facet Christopher DeZorzi
Katherine I. Harris
author_sort Christopher DeZorzi
collection DOAJ
description This case presentation discusses an extremely rare diagnosis presenting with common symptoms, attributed to influenza, which were not investigated further when clear cardiac symptoms developed. The patient initially presented with symptoms consistent with influenza, but when orthopnea and dyspnea on exertion developed, these cardiac symptoms continued to be attributed to a postviral syndrome and were not further evaluated. Premature closure bias contributed to a delay in diagnosing a rare cardiac condition. The diagnostic momentum, or the continuing of a diagnostic label, occurred across multiple providers and settings. This case demonstrates the risk of premature closure and diagnostic momentum and reminds clinicians to reframe the differential diagnosis as more information on history or physical exam becomes available.
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institution Kabale University
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language English
publishDate 2018-01-01
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series Case Reports in Cardiology
spelling doaj-art-dcd295e02e9840d5bc5747336704ffa82025-08-20T03:26:15ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/86283658628365Secret Sarcoma: A Cardiac Mass Disguised as InfluenzaChristopher DeZorzi0Katherine I. Harris1University of Iowa Hospitals and Clinics, Iowa City, IA, USAUniversity of Iowa Hospitals and Clinics, Iowa City, IA, USAThis case presentation discusses an extremely rare diagnosis presenting with common symptoms, attributed to influenza, which were not investigated further when clear cardiac symptoms developed. The patient initially presented with symptoms consistent with influenza, but when orthopnea and dyspnea on exertion developed, these cardiac symptoms continued to be attributed to a postviral syndrome and were not further evaluated. Premature closure bias contributed to a delay in diagnosing a rare cardiac condition. The diagnostic momentum, or the continuing of a diagnostic label, occurred across multiple providers and settings. This case demonstrates the risk of premature closure and diagnostic momentum and reminds clinicians to reframe the differential diagnosis as more information on history or physical exam becomes available.http://dx.doi.org/10.1155/2018/8628365
spellingShingle Christopher DeZorzi
Katherine I. Harris
Secret Sarcoma: A Cardiac Mass Disguised as Influenza
Case Reports in Cardiology
title Secret Sarcoma: A Cardiac Mass Disguised as Influenza
title_full Secret Sarcoma: A Cardiac Mass Disguised as Influenza
title_fullStr Secret Sarcoma: A Cardiac Mass Disguised as Influenza
title_full_unstemmed Secret Sarcoma: A Cardiac Mass Disguised as Influenza
title_short Secret Sarcoma: A Cardiac Mass Disguised as Influenza
title_sort secret sarcoma a cardiac mass disguised as influenza
url http://dx.doi.org/10.1155/2018/8628365
work_keys_str_mv AT christopherdezorzi secretsarcomaacardiacmassdisguisedasinfluenza
AT katherineiharris secretsarcomaacardiacmassdisguisedasinfluenza