Case Report

Clinical Misdiagnosis of COVID-19 Infection with Confusing Clinical Course

Table 2

Other laboratory findings to rule out different differential diagnosis.

Blood cultureNegative

Peripheral blood smearLeishman body
Flow cytometryBlasts 2%
Urine cultureNegative
Bone marrow cultureNegative
WrightNegative
Coombs-WrightNegative
2MENegative
WidalNegative
Flow cytometryNormal
Kala-azar IgGNegative
Kala-azar IgMNegative
HIV Ab (<1 nonreactive)0.1
IgG (Elisa) (295–1156) mg/dl205
IgM (Elisa) (37–184) mg/dl18
EBV-CMVNegative
EBV-IgG (<0.8 nonreactive) U/ml4.7
EBV-IgM (<9 nonreactive) U/ml0.1
CMV-IgG (<6 nonreactive) U/ml0.1
CMV-IgM (<0.8 nonreactive) U/ml0.1
Malaria-BorreliaNegative
EMGNegative

Pleural fluid analysis
Volume5
ColorRed
AppearanceTurbid
WBC2090% (lymphocytes)
10% (PMN)
RBC60000
Direct smearBacteria were not seen
Pleural fluid cultureNo growth after 72 hr