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. 2025 Apr 24;26(4):292-296.
doi: 10.1002/jgf2.70015. eCollection 2025 Jul.

Avoiding early diagnosis

Takao Wakabayashi  1 , Goh Keng Wee  1 , Mikinosuke Ishibashi  1 , Yoshiki Akiyama  1 , Naoki Kanda  1 , Tomoyuki Watanabe  1
Affiliations

Avoiding early diagnosis

Takao Wakabayashi et al. J Gen Fam Med. .
No abstract available

Keywords: Lemierre's syndrome; cognitive bias; diagnostic error; relative bradycardia.

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Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Computed tomography at admission. (A) Multiple infiltrative and nodular shadows were observed along the pleura of both lungs. (B) A reversed halo sign was noted in the right middle and lower lung fields.
FIGURE 2
FIGURE 2
Temperature and pulse rate. A dissociation between temperature and pulse was observed.
FIGURE 3
FIGURE 3
Computed tomography on the third day. (A) Low‐density area with peripheral contrast enhancement was observed. (B) A contrast defect was observed in the branch of the right internal jugular vein leading to the abscess, suggesting the presence of an intravascular thrombus.
FIGURE 4
FIGURE 4
Scatterplot. The patient's vital signs show a pulse rate lower than expected for the fever. The dashed line represents the approximate regression line derived from the patient's vital signs; the solid line represents the line typically predicted.
See this image and copyright information in PMC

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