Evidence map›Paper›PMID 12904435›Full record

ReviewJournal of clinical microbiology2003

Scedosporium prolificans osteomyelitis in an immunocompetent child treated with voriconazole and caspofungin, as well as locally applied polyhexamethylene biguanide.

William J Steinbach, Wiley A Schell, Jackie L Miller, John R Perfect

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in Journal of clinical microbiology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Successful management ofMedical mycology case reports · 2025
    Article
  3. Review
  4. Article
  5. Osteoarticular Mycoses.Clinical microbiology reviews · 2022
    Review
  6. Microorganisms · 2022
    Review
  7. Review
  8. Review
  9. A fatal invasiveCurrent medical mycology · 2020
    Article
  10. Recent Advances in the Treatment of Scedosporiosis and Fusariosis.Journal of fungi (Basel, Switzerland) · 2018
    Review
  11. Journal of hand and microsurgery · 2017
    Article
  12. Case reports in orthopedics · 2017
    Article
  13. Article
  14. Phaeohyphomycosis in Transplant Patients.Journal of fungi (Basel, Switzerland) · 2015
    Review
  15. Article
  16. Article
  17. Successful use of locally applied polyhexamethylene biguanide as an adjunct to the treatment of fungal osteomyelitis.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2013
    Article
  18. Article
  19. Article
  20. Melanized fungi in human disease.Clinical microbiology reviews · 2010
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

William J SteinbachDepartment of Pediatrics, Duke University, Durham, North Carolina 27710, USA. stein022@mc.duke.edu
Wiley A Schell
Jackie L Miller
John R Perfect
Office of Infectious Diseases · USDuke University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Scedosporium species are increasingly isolated from immunocompromised and immunocompetent patients. Unfortunately, Scedosporium infections are generally resistant to amphotericin B, and Scedosporium prolificans strains are particularly resistant to the antifungal agents now in use. We report here on an immunocompetent child with S. prolificans-associated osteomyelitis successfully treated with debridement, local irrigation with polyhexamethylene biguanide, and the systemic administration of voriconazole and caspofungin despite poor in vitro activity of voriconazole alone against the isolate. We also review the treatments and outcomes of 28 reported cases of osteomyelitis or septic arthritis caused by Scedosporium species in immunocompetent patients.

Indexed as

PeptidesPeptides, CyclicAdministration, TopicalAnti-Bacterial AgentsAntifungal AgentsBiguanidesCaspofunginChild, PreschoolDisinfectantsEchinocandinsHumansLipopeptidesMagnetic Resonance ImagingMaleMucormycosisOsteomyelitisAnti-Bacterial AgentsAntifungal AgentsBiguanidesCaspofunginDisinfectantsEchinocandinsLipopeptidesPeptidesPeptides, CyclicpolihexanidePyrimidinesTriazolesVoriconazole

Identifiers

PMID12904435
PMCPMC179776
OpenAlexW1969124360

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.