Evidence map›Paper›PMID 26753565›Full record

ArticleItalian journal of pediatrics2016

Diagnostic role of inflammatory markers in pediatric Brucella arthritis.

Fesih Aktar, Recep Tekin, Mehmet Selçuk Bektaş, Ali Güneş, Muhammet Köşker, Sabahattin Ertuğrul, Kamil Yılmaz, Kamuran Karaman, Hasan Balık, İlyas Yolbaş

Open access · goldAbstract read
In one paragraph

Article in Italian journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Platelet mass index, systemic immune-inflammation index, and neutrophil-lymphocyte ratio as practical markers in childhood brucellosis.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2025
    Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Comparison of Inflammatory Markers between Adult and Pediatric Brucellosis Patients.Revista da Sociedade Brasileira de Medicina Tropical · 2020
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Comparison of inflammatory markers between brucella and non-brucella epididymo-orchitis.International braz j urol : official journal of the Brazilian Society of Urology
    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

10 authors at 3 institutions in 1 country.

Fesih AktarDepartment of Pediatric Infectious Disease, Dicle University School of Medicine, 21280, Diyarbakir, Turkey. fesihaktar@yahoo.com.
Recep TekinDepartment of Clinical Microbiology and Infectious Disease, Dicle University School of Medicine, Diyarbakir, Turkey. rectek21@hotmail.com.
Mehmet Selçuk BektaşDepartment of Pediatric, Van Research Hospital, Van, Turkey. selcukbektas008@gmail.com.
Ali GüneşDepartment of Pediatric Infectious Disease, Dicle University School of Medicine, 21280, Diyarbakir, Turkey. mdagunes@hotmail.com.
Muhammet KöşkerDepartment of Pediatric Infectious Disease, Diyarbakir Children's Hospital, Diyarbakir, Turkey. muhammetkosker@gmail.com.
Sabahattin ErtuğrulDepartment of Pediatric, Dicle University School of Medicine, Diyarbakir, Turkey. sertugrul68@yahoo.com.
Kamil YılmazDepartment of Pediatric, Diyarbakir Children's Hospital, Diyarbakir, Turkey. kamilyilmaz@hotmail.com.
Kamuran KaramanDepartment of Pediatric, Yüzüncü Yil University School of Medicine, Van, Turkey. kamuran_karaman@hotmail.com.
Hasan BalıkDepartment of Pediatric, Dicle University School of Medicine, Diyarbakir, Turkey. drhasanbalik21@hotmail.com.
İlyas YolbaşDepartment of Pediatric, Dicle University School of Medicine, Diyarbakir, Turkey. ilyasyolbas@hotmail.com.
Dicle University · TRDiyarbakır Askeri Hastanesi · TRVan Yüzüncü Yıl Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs a multisystem infectious disease, there is an inflammation, which causes increase in acute phase reactants in brucellosis. The mean platelet volume (MPV), platelet distribution width (PDW), red cell distribution width (RDW), neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) have been identified as markers of inflammation. The present study aimed to evaluate diagnostic values of these biomarkers in brucella arthritis (BA).

methodsThe study included 64 children with BA and 66 healthy control subjects. Demographic features, joint involvement, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and hematological variables were retrospectively recorded. In addition, results of synovial fluid and serum tube agglutination test for brucella together with treatment regimens were recorded.

resultsThe mean age of the patients (53.1 % male) was 92.3 ± 41.2 months. The most commonly affected joint was ankle (53.1 %). Synovial fluid puncture-brucella agglutination test was positive in 22 (34.3 %) patients. Puncture culture was positive in 9 patients. Most of the patients (57.8 %) were treated with a combination of rifampicin plus sulfamethoxazole/trimethoprim and gentamicin. Significantly higher mean PDW, RDW, MPV, NLR and PLR values were found in children with BA compared to control subjects (p < 0.05). A positive correlation was found between MPV and NLR values (R (2) = 0.192, p < 0.001).

conclusionOur findings indicated that NLR and PLR are indirect markers of inflammation that may be observed abnormally increased in children with brucella arthritis. Further longitudinal studies are needed to investigate this topic to establish the more clear associations.

Indexed as

Agglutination TestsArthritis, InfectiousBiomarkersBrucellosisCase-Control StudiesChildDiagnosis, DifferentialFemaleHematologic TestsHumansMaleRetrospective StudiesBiomarkers

Identifiers

PMID26753565
PMCPMC4709903
OpenAlexW2235422460

What OpenQuestion holds

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LicenceCC BY
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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.