Evidence map›Paper›PMID 24872493›Full record

ArticleBMJ case reports2014

Actinomyces infection causing acute right iliac fossa pain.

Narendranath Govindarajah, Waseem Hameed, Simon Middleton, Michael Booth

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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 1 institution in 1 country.

Narendranath GovindarajahDepartment of General Surgery, Royal Berkshire NHS Foundation Trust, Reading, Berkshire, UK.
Waseem HameedRoyal Berkshire NHS Foundation Trust, Reading, Berkshire, UK.
Simon MiddletonRoyal Berkshire NHS Foundation Trust, Reading, Berkshire, UK.
Michael BoothRoyal Berkshire NHS Foundation Trust, Reading, Berkshire, UK.
Royal Berkshire NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is a case of a 75-year-old man being admitted to the on-call surgical department with acute abdominal pain. On arrival he was clinically dehydrated and shocked with localised pain over McBurney's point and examination findings were suggestive of appendiceal or other colonic pathology. Full blood testing revealed a white cell count of 38×10(9)/L and a C reactive protein (CRP) of 278 mg/L. A CT scan revealed a gallbladder empyema that extended into the right iliac fossa. This case highlights the potential for a hyperdistended gallbladder empyema to present as acute right iliac fossa pain with blood tests suggestive of complicated disease. Further analysis confirmed Actinomyces infection as the underlying aetiology prior to a laparoscopic subtotal cholecystectomy. This case serves to remind clinicians of this as a rare potential cause of atypical gallbladder pathology.

Indexed as

Abdominal PainActinomycosisAgedAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsCholecystitisDiagnosis, DifferentialDrainageGentamicinsHumansMaleRadiography, AbdominalTomography, X-Ray ComputedAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsGentamicins

Identifiers

PMID24872493
PMCPMC4039981
OpenAlexW2315063827

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.