A pitfall of cognitive bias during the pandemic: Two cases of Plasmodium falciparum malaria coinfected or misdiagnosed with COVID-19

J Infect Chemother. 2023 Sep;29(9):916-918. doi: 10.1016/j.jiac.2023.05.016. Epub 2023 May 20.

Abstract

We report two the cases of patients with imported Plasmodium falciparum malaria during the COVID-19 pandemic. One was coinfected with COVID-19 and the other was misdiagnosed with COVID-19; either way, the diagnosis of malaria was delayed. These cases suggest that physicians should beware of cognitive biases during pandemics and carefully evaluate febrile patients. Malaria should be considered in any febrile patient returning from a malaria-endemic area.

Keywords: COVID-19; Cognitive biases; Imported malaria; Pandemic; Plasmodium falciparum.

Publication types

  • Case Reports

MeSH terms

  • COVID-19* / diagnosis
  • Cognition
  • Diagnostic Errors
  • Fever
  • Humans
  • Malaria* / diagnosis
  • Malaria* / drug therapy
  • Malaria* / epidemiology
  • Malaria, Falciparum* / diagnosis
  • Malaria, Falciparum* / drug therapy
  • Pandemics
  • Plasmodium falciparum
  • Travel