{"meta":{"exportedAt":"2026-10-09T08:05:52.096Z","formatVersion":2,"selection":{"q":"delayed_diagnosis","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"2026","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":1,"languages":1,"unknownLocation":0,"locationPending":0,"unknownLanguage":0,"unknownDate":0,"lawsuits":0,"regulatory":0,"minors":1,"coreRelations":0,"contextualRelations":1,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"relationUnknown":0},"countingNote":"Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.","affectedCountNote":"Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.","source":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-zhejiang-toddler-ai-asthma-diagnosis-mother-declined-chest-xray-pneumonia-hospitalised","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'今年8月，浙江一名3岁男童阳阳（化名）的案例令人警醒。阳阳有哮喘病史，妈妈在AI上输入“过敏、哮喘、咳嗽、夜间咳喘”等关键词，AI快速给出“支气管哮喘急性发作”的诊断'","relation":"supports","source_id":"s1"}],"assertion":"In August 2026 the mother of a three-year-old boy with a history of asthma in Zhejiang entered the keywords allergy, asthma, cough and night-time wheezing into an AI application, which quickly returned a diagnosis of an acute bronchial asthma attack (hospital account relayed by the newspaper).","causal_attribution":"Hospital account as relayed by Guangming Daily; the application is not identified."},{"id":"c2","status":"reported","evidence":[{"locator":"'阳阳妈妈据此拒绝医生建议的胸部X线平片检查，坚持只开雾化药回家'","relation":"supports","source_id":"s1"}],"assertion":"On the basis of that AI diagnosis the mother declined the chest X-ray examination the doctor recommended and insisted on taking home only nebuliser medication.","causal_attribution":"The feature attributes the refusal to the AI diagnosis (据此); this is the hospital's account."},{"id":"c3","status":"reported","evidence":[{"locator":"'两天后孩子病情加重、呼吸急促，连夜返院检查发现双肺大面积炎症病灶，确诊为偏肺病毒肺炎叠加细菌感染，紧急住院'","relation":"supports","source_id":"s1"}],"assertion":"Two days later the child's condition worsened with rapid breathing; on an overnight return to the hospital, examination found extensive inflammatory lesions in both lungs, and he was diagnosed with human metapneumovirus pneumonia with a superimposed bacterial infection and admitted as an emergency.","causal_attribution":"Clinical course as described by the hospital and relayed by the newspaper."},{"id":"c4","status":"reported","evidence":[{"locator":"'“他们要是早点听我的，病情也不至于这么严重。”浙江省中医院儿科主任李岚无奈地说'","relation":"supports","source_id":"s1"}],"assertion":"The head of paediatrics at Zhejiang Provincial Hospital of Traditional Chinese Medicine is quoted saying the illness would not have become so severe had the family listened earlier.","causal_attribution":"The clinician's assessment of the delay; the newspaper reports it without an independent review of the records."}],"effects":[{"label":"Pneumonia in a three-year-old detected two days late after his mother relied on an AI application's acute-asthma diagnosis and declined a recommended chest X-ray (hospital account)","claim_id":"c3","direction":"negative"}],"sources":[{"id":"s1","url":"https://finance.sina.cn/2026-10-08/detail-iniumumr7827547.d.html","kind":"news_article","access":"read","language":"zh","translation_note":"Chinese body read in full on 2026-10-09 and translated by the research agent (an AI). The Sina Finance page republishes a Bingtuan Daily item (兵团日报, dated 10.08 01:37) credited at the end to Guangming Daily (据《光明日报》); the case passage is the hospital's account as relayed by the newspaper.","independence_group":"guangming-daily-feature-hospital-account"}],"version":1,"ai_roles":["others_use"],"contexts":["health","everyday_life"],"unknowns":["Which AI application the mother used.","Whether the application's acute-asthma diagnosis was wrong in itself or only incomplete; the feature describes the missed pneumonia, not the asthma assessment.","The exact dates in August 2026 of the first visit and the readmission.","The child's course after the emergency admission.","The family's own account; only the hospital's description, as relayed by the newspaper, is available."],"geography":{"basis":"The feature places the case in Zhejiang (浙江一名3岁男童) and the treating clinician at Zhejiang Provincial Hospital of Traditional Chinese Medicine, so the event and the affected child are in China. No court is involved.","court_countries":[],"event_countries":["CN"],"affected_person_countries":["CN"]},"publication":{"basis":"Published as a concrete, clinician-sourced account in a national newspaper feature of a parent relying on an AI application's symptom diagnosis for a young child, declining a recommended chest X-ray, and the child being admitted as an emergency two days later with pneumonia. Every assertion is attributed to the hospital's account as relayed by Guangming Daily; the application is unnamed, the child's pseudonym is not repeated, and the delay rather than the AI's asthma assessment is recorded as the harm mechanism.","reviewed_on":"2026-10-09"},"ai_involvement":{"basis":"The feature states what the AI application produced: after the mother entered the keywords allergy, asthma, cough and night-time wheezing, it quickly returned the diagnosis acute bronchial asthma attack. It connects that output to the harm in the next sentences: on that basis the mother declined the chest X-ray the doctor recommended and took home only nebuliser medication, and two days later the child was found to have extensive bilateral lung inflammation and was admitted as an emergency with metapneumovirus pneumonia and a bacterial infection. The account is the hospital's, given by its head of paediatrics and relayed by Guangming Daily; the application is unnamed and the family's own version is not reported, so the involvement is recorded as reported rather than supported.","status":"reported"},"person_relations":["made_claim_about","informed_decision_about"]},"name":"Zhejiang toddler hospitalised with pneumonia after his mother relied on an AI app's asthma diagnosis and declined a chest X-ray (hospital account)","summary":"A Guangming Daily feature on AI symptom-checking, republished by Bingtuan Daily on Sina Finance on 8 October 2026, recounts a case from August 2026 in Zhejiang and closes it with a quotation from the head of paediatrics at a provincial hospital, who says the family did not heed her advice. A three-year-old boy with a history of asthma was brought in; his mother had entered keywords such as allergy, asthma, cough and night-time wheezing into an AI application, which quickly returned a diagnosis of an acute bronchial asthma attack. On that basis, the account says, she declined the chest X-ray the doctor recommended and insisted on taking home only nebuliser medication. Two days later the child's condition worsened with rapid breathing; on an overnight return to the hospital, examination found extensive inflammatory lesions in both lungs, and he was diagnosed with human metapneumovirus pneumonia with a superimposed bacterial infection and admitted as an emergency. The paediatrics head is quoted saying the illness would not have become so severe had the family listened earlier. The AI application is not named, and the account comes from the hospital side as relayed by the newspaper; no statement from the family is reported.","incidentDate":"2026-08-01","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"single_interaction","reportedDate":"2026-10-08","aiSystem":"An unnamed AI application into which, by the hospital account relayed in the Guangming Daily feature, the mother entered symptom keywords and which returned a diagnosis of an acute bronchial asthma attack","aiProduct":"Unidentified symptom-analysis tool","severity":"medium","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["medical_deterioration","hospitalization","treatment_disruption"],"harmOutcomeSummary":"By the hospital account relayed in the feature, a three-year-old's pneumonia went undetected for two days after his mother, relying on an AI application's acute-asthma diagnosis, declined the chest X-ray a doctor advised; his condition worsened and he was admitted as an emergency with metapneumovirus pneumonia and a bacterial infection.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"One child is reported harmed. The mother used the application; the harm fell on the child, so he is counted as another person harmed and no direct user is counted as harmed.","victimAgeRange":"minor","jurisdiction":"CN","platformType":"other","outcomeStatus":"unknown","primarySourceUrl":"https://finance.sina.cn/2026-10-08/detail-iniumumr7827547.d.html","primarySourceLabel":"Sina Finance (Bingtuan Daily, credited to Guangming Daily), AI热潮下医患问诊之变与辨, 8 October 2026","firstPublishedAt":"2026-10-09T03:36:33.441089+00:00","updatedAt":"2026-10-09T03:36:33.441089+00:00","scopeVersion":"facts-v3","tags":["health","symptom_checker","children","delayed_diagnosis","china"]}]}