Evidence map›Paper›PMID 27209066›Full record

ArticleBMC infectious diseases2016

Chronic Cystoisospora belli infection in an immunocompetent Myanmar refugee - microscopy is not sensitive enough.

Sze-Ann Woon, Rongchang Yang, Una Ryan, Peter Boan, David Prentice

Open access · goldAbstract readCase ReportsEvaluation Study
In one paragraph

Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Life Cycle and Transmission ofMicroorganisms · 2022
    Review
  4. Article
  5. Article
  6. Molecular detection of Cystoisospora belli by single-run polymerase chain reaction in stool samples.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2021
    Article
  7. Article
  8. Case reports in infectious diseases · 2018
    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

5 authors at 2 institutions in 1 country.

Sze-Ann WoonDepartment of Microbiology and Infectious Disease, PathWest Laboratory Medicine WA and Royal Perth Hospital, Perth, Australia. Sze-Ann.Woon@health.wa.gov.au.
Rongchang YangSchool of Veterinary and Life Sciences, Murdoch University, Perth, Australia.
Una RyanSchool of Veterinary and Life Sciences, Murdoch University, Perth, Australia.
Peter BoanDepartment of Microbiology and Infectious Disease, PathWest Laboratory Medicine WA and Royal Perth Hospital, Perth, Australia.
David PrenticeDepartment of Internal Medicine, Royal Perth Hospital, Perth, Australia.
Royal Perth Hospital · AUMurdoch University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCystoisosporiasis is an opportunistic infection seen more commonly in patients with acquired immunodeficiency syndrome. Although uncommon, Cystoisospora infection can occur in immunocompetent individuals but tend to be benign and self-limiting. Chronic infection however, has been described but diagnosis can often be challenging and requires a high clinical index of suspicion. CASE PRESENTATION: We present a case of delayed diagnosis of Cystoisospora belli (C. belli) in an immunocompetent 28-year-old refugee from Myanmar. She had a history of chronic diarrhea where exhaustive investigations over many years failed to reveal a diagnosis. Cystoisospora belli cysts were finally detected in stool 4 years after investigation commenced, and PCR testing on stored colon biopsies amplified a molecular product with 99 % sequence homology to C. belli. The patient improved promptly with trimethoprim-sulfamethoxazole treatment.

conclusionIn the appropriate clinical context we suggest molecular testing for C. belli or an empirical therapeutic trial.

Indexed as

Acquired Immunodeficiency SyndromeAdultChronic DiseaseCoccidiosisFecesFemaleHumansImmunocompromised HostMicroscopyMyanmarPolymerase Chain ReactionRefugeesSarcocystidaeTrimethoprim, Sulfamethoxazole Drug CombinationTrimethoprim, Sulfamethoxazole Drug Combination

Identifiers

PMID27209066
PMCPMC4875662
OpenAlexW2405388905

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.