Evidence map›Paper›PMID 28067969›Full record

ReviewTransplant infectious disease : an official journal of the Transplantation Society2017

Disseminated Acanthamoeba infection in a heart transplant recipient treated successfully with a miltefosine-containing regimen: Case report and review of the literature.

Max N Brondfield, Michael J A Reid, Rachel L Rutishauser, Jennifer R Cope, Jevon Tang, Jana M Ritter, Almea Matanock, Ibne Ali, Sarah B Doernberg, Alexandra Hilts-Horeczko and 3 more

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in Transplant infectious disease : an official journal of the Transplantation Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.3field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. The Brief Case:Journal of clinical microbiology · 2025
    Review
  4. Article
  5. Novel Drug Screening Assay forJournal of medicinal chemistry · 2024
    Article
  6. Article
  7. Article
  8. Opportunistic free-living amoebal pathogens.Pathogens and global health · 2022
    Article
  9. Article
  10. Pathomechanisms in the Kidneys in Selected Protozoan Parasitic Infections.International journal of molecular sciences · 2021
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Acanthamoeba endophthalmitis during treatment for cutaneous disease in a renal transplant patient.Transplant infectious disease : an official journal of the Transplantation Society · 2018
    Article
  16. Article
  17. Review
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

13 authors at 6 institutions in 3 countries.

Max N BrondfieldSchool of Medicine, University of California San Francisco (UCSF), San Francisco, CA, USA.
Michael J A ReidDivision of Infectious Diseases, UCSF, San Francisco, CA, USA.
Rachel L RutishauserDivision of Infectious Diseases, UCSF, San Francisco, CA, USA.
Jennifer R CopeWaterborne Disease Prevention Branch, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.
Jevon TangDepartment of Infectious Diseases, Washington Hospital Healthcare System, Fremont, CA, USA.
Jana M RitterInfectious Diseases Pathology Branch, CDC, Atlanta, GA, USA.
Almea MatanockEpidemic Intelligence Service, CDC, Atlanta, GA, USA.
Ibne AliWaterborne Disease Prevention Branch, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA.
Sarah B DoernbergDivision of Infectious Diseases, UCSF, San Francisco, CA, USA.
Alexandra Hilts-HoreczkoDepartment of Pharmaceutical Services, UCSF, San Francisco, CA, USA.
Teresa DeMarcoDepartment of Cardiology, UCSF, San Francisco, CA, USA.
Liviu KleinDepartment of Cardiology, UCSF, San Francisco, CA, USA.
Jennifer M BabikDivision of Infectious Diseases, UCSF, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-6914-4959
University of California, San Francisco · USUniversity of California San Francisco Medical Center · USCenters for Disease Control and Prevention · USEpidemic Intelligence Service · USOffice of Infectious Diseases · USWashington Hospital Healthcare System · US

Funding

Training in HIV Translational ResearchT32AI060530 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Diane V Havlir · 2005 to 2026
$6.4M
Intramural CDC HHS CC999999NIAID NIH HHS T32 AI060530
6 · The paper itself

Abstract

Disseminated acanthamoebiasis is a rare, often fatal, infection most commonly affecting immunocompromised patients. We report a case involving sinuses, skin, and bone in a 60-year-old woman 5 months after heart transplantation. She improved with a combination of flucytosine, fluconazole, miltefosine, and decreased immunosuppression. To our knowledge, this is the first case of successfully treated disseminated acanthamoebiasis in a heart transplant recipient and only the second successful use of miltefosine for this infection among solid organ transplant recipients. Acanthamoeba infection should be considered in transplant recipients with evidence of skin, central nervous system, and sinus infections that are unresponsive to antibiotics. Miltefosine may represent an effective component of a multidrug therapeutic regimen for the treatment of this amoebic infection.

Indexed as

AcanthamoebaAmebiasisAmebicidesAmphotericin BAnti-Bacterial AgentsAntilymphocyte SerumBiopsyCardiomyopathiesDrugs, InvestigationalEndoscopyFemaleFluconazoleFlucytosineHeart TransplantationHumansImmunocompromised HostAmebicidesAmphotericin BAnti-Bacterial AgentsAntilymphocyte SerumDrugs, InvestigationalFluconazoleFlucytosineImmunosuppressive AgentsMetronidazolemiltefosinePhosphorylcholineAcanthamoebaheart transplantmiltefosine

Identifiers

PMID28067969
PMCPMC5510642
OpenAlexW2569088276

What OpenQuestion holds

Textmetadata
LicenceTDM
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.