Evidence map›Paper›PMID 25398925›Full record

ReviewBMJ case reports2014

Pulmonary co-infection with Nocardia and Aspergillus in a patient with adult-onset Still's disease receiving steroids and tacrolimus.

Durga Prasanna Misra, Jyoti Ranjan Parida, Abhra Chandra Chowdhury, Vikas Agarwal

Abstract readCase ReportsReview
In one paragraph

Review 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Case Report: A case ofFrontiers in medicine · 2025
    Article
  2. Review
  3. Case of coexistingBMJ case reports · 2022
    Article
  4. Article
  5. Article
  6. European journal of case reports in internal medicine · 2019
    Article
  7. Therapeutic Benefits of Natural Ingredients for Atopic Dermatitis.Chinese journal of integrative medicine · 2018
    Review
  8. Article
  9. Review
  10. Article
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.

Durga Prasanna MisraDepartment of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Jyoti Ranjan ParidaDepartment of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Abhra Chandra ChowdhuryDepartment of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Vikas AgarwalDepartment of Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Sanjay Gandhi Post Graduate Institute of Medical Sciences · INNational Institute of Technology Durgapur · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients on immunosuppression are at risk of unusual infections. We present a man diagnosed to have adult-onset Still's disease who, on high-dose oral steroid and tacrolimus, developed a cavitating pneumonia due to co-infection with Aspergillus flavus and Nocardia. Timely diagnosis and institution of appropriate therapy resulted in a favourable clinical outcome. Such co-infection in a patient receiving tacrolimus is rare in the published literature. This case serves to emphasise the need to be vigilant for unusual infections in patients who are immunosuppressed, either due to drugs or underlying disease condition.

Indexed as

AdultAnti-Bacterial AgentsAntifungal AgentsAspergillosisCoinfectionDrug Therapy, CombinationFollow-Up StudiesHumansImmunocompromised HostImmunosuppressive AgentsMaleNocardia InfectionsPneumoniaRadiography, ThoracicSteroidsStill's Disease, Adult-OnsetAnti-Bacterial AgentsAntifungal AgentsImmunosuppressive AgentsSteroidsTacrolimus

Identifiers

PMID25398925
PMCPMC4244375
OpenAlexW2316634101

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.