Evidence map›Paper›PMID 26793469›Full record

ArticleIDCases2015

Delayed diagnosis of Q fever endocarditis in a rheumatoid arthritis patient.

Shailee Y Shah, Christopher Kovacs, Carmela D Tan, Gosta Pettersson, Nabin K Shrestha, Larry Lutwick, Steven M Gordon

Open access · goldAbstract readCase Reports
In one paragraph

Article in IDCases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Infection and drug resistance · 2025
    Article
  3. Q Fever-A Neglected Zoonosis.Microorganisms · 2022
    Review
  4. Comparison of threeVirulence · 2021
    Article
  5. Article
  6. Evaluation of the Possibility ofJournal of veterinary research · 2019
    Article
  7. 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

7 authors at 2 institutions in 1 country.

Shailee Y ShahDepartment of Infectious Diseases, Cleveland Clinic, OH, United States.
Christopher KovacsDepartment of Infectious Diseases, Cleveland Clinic, OH, United States.
Carmela D TanDepartment of Pathology, Cleveland Clinic, OH, United States.
Gosta PetterssonDepartment of Cardiovascular Surgery, Cleveland Clinic, OH, United States.
Nabin K ShresthaDepartment of Infectious Diseases, Cleveland Clinic, OH, United States.
Larry LutwickDepartment of Infectious Diseases, Western Michigan University, Kalamazoo, MI, United States.
Steven M GordonDepartment of Infectious Diseases, Cleveland Clinic, OH, United States.
Cleveland Clinic · USWestern Michigan University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic Q fever caused by Coxiella burnetii is uncommon in the United States and is most often associated with infective endocarditis. We present a 52-year-old woman with a history of aortic valve replacement and rheumatoid arthritis treated with Etanercept with chronic Q fever manifesting as prosthetic valve infective endocarditis. Explanted valve tissue showed organisms confirmed to be C. burnetii by PCR (polymerase chain reaction) sequencing. She subsequently reported consumption of unpasteurized cow milk which was the likely source of C. burnetii. She continues to do well 6 months after valve replacement on oral doxycycline and hydroxychloroquine.

Indexed as

Coxiella burnetii endocarditisEndocarditis and EtanerceptQ fever endocarditisUnpasteurized milk infection

Identifiers

PMID26793469
PMCPMC4712205
OpenAlexW2108251003

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.