Evidence map›Paper›PMID 28152491›Full record

ArticleInternational journal of surgery case reports2017

Aggregatibacter aphrophilus infective endocarditis confirmed by broad-range PCR diagnosis: A case report.

Koji Hirano, Toshiya Tokui, Masahiro Inagaki, Taro Fujii, Yasumi Maze, Hirokazu Toyoshima

Open access · goldAbstract read
In one paragraph

Article in International journal of surgery case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  9. Challenges and Insights inArchivos peruanos de cardiologia y cirugia cardiovascular
    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

6 authors at 1 institution in 1 country.

Koji HiranoDepartment of Thoracic and Cardiovascular Surgery, Japan Red Cross Ise Hospital, Ise, Japan. Electronic address: koji.hirano3@gmail.com.
Toshiya TokuiDepartment of Thoracic and Cardiovascular Surgery, Japan Red Cross Ise Hospital, Ise, Japan.
Masahiro InagakiDepartment of Thoracic and Cardiovascular Surgery, Japan Red Cross Ise Hospital, Ise, Japan.
Taro FujiiDepartment of Thoracic and Cardiovascular Surgery, Japan Red Cross Ise Hospital, Ise, Japan.
Yasumi MazeDepartment of Thoracic and Cardiovascular Surgery, Japan Red Cross Ise Hospital, Ise, Japan.
Hirokazu ToyoshimaDepartment of Infectious Diseases, Japan Red Cross Ise Hospital, Ise, Japan.
Ise Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAggregatibacter aphrophilus is a rare cause of infective endocarditis. This pathogen is difficult to identify with common culture methods, which can lead to incorrect diagnosis and treatment. PRESENTATION OF CASE: A 72-year-old woman was admitted to a community hospital with a persistent high fever and deteriorating renal function. Based on negative blood culture and positive serum proteinase 3 anti-neutrophil cytoplasmic antibody (PR3-ANCA), acute renal failure associated with ANCA-rerated vasculitis was initially suspected. However, the patient developed heart failure soon afterward; echocardiography showed mitral insufficiency with mobile vegetation attached to the mitral valve, indicating infective endocarditis. After transfer to our hospital, the patient underwent mitral valve repair. Broad-range polymerase chain reaction (br-PCR) and sequencing identified Aggregatibacter aphrophilus in the excised vegetation. The patient had a good postoperative course, with recovery of renal function.

conclusionA rare disease, Aggregatibacter aphrophilus infective endocarditis was successfully treated with surgical repair and appropriate antibiotic therapy. To avoid misdiagnosis, br-PCR testing should be performed in patients with blood culture-negative endocarditis.

Indexed as

Aggregatibacter aphrophilusBroad-range polymerase chain reactionCase reportCulture-negative endocarditisInfective endocarditisProteinase 3 anti-neutrophil cytoplasmic antibody

Identifiers

PMID28152491
PMCPMC5288324
OpenAlexW2579259076

What OpenQuestion holds

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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.