Evidence map›Paper›PMID 28687071›Full record

ArticleBMC infectious diseases2017

Recurrence of visceral and muco-cutaneous leishmaniasis in a patient under immunosuppressive therapy.

Gilles Darcis, Gert Van der Auwera, Jean-Baptiste Giot, Marie-Pierre Hayette, Françoise Tassin, Jorge Arrese Estrada, Lieselotte Cnops, Michel Moutschen, Laurence de Leval, Philippe Leonard

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.0field-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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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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 2 countries.

Gilles DarcisCentre Hospitalier Universitaire (CHU) de Liège, Liège, Belgium. gdarcis@chu.ulg.ac.be.
Gert Van der AuweraInstitute of Tropical Medicine, Antwerp, Belgium.
Jean-Baptiste GiotCentre Hospitalier Universitaire (CHU) de Liège, Liège, Belgium.
Marie-Pierre HayetteCentre Hospitalier Universitaire (CHU) de Liège, Liège, Belgium.
Françoise TassinCentre Hospitalier Universitaire (CHU) de Liège, Liège, Belgium.
Jorge Arrese EstradaCentre Hospitalier Universitaire (CHU) de Liège, Liège, Belgium.
Lieselotte CnopsInstitute of Tropical Medicine, Antwerp, Belgium.
Michel MoutschenCentre Hospitalier Universitaire (CHU) de Liège, Liège, Belgium.
Laurence de LevalService of clinical Pathology, Lausanne University Hospital, Lausanne, Switzerland.
Philippe LeonardCentre Hospitalier Universitaire (CHU) de Liège, Liège, Belgium.
Centre Hospitalier Universitaire de Liège · BEInstituut voor Tropische Geneeskunde · BEUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeishmaniasis is a protozoan disease caused by parasites of the genus Leishmania, transmitted to humans by sandflies. The diagnosis of leishmaniasis is often challenging as it mimics many other infectious or malignant diseases. The disease can present in three ways: cutaneous, mucocutaneous, or visceral leishmaniasis, which rarely occur together or consecutively. CASE PRESENTATION: The patient was a 52 years old immunosuppressed Belgian woman with a long history of severe rheumatoid arthritis. She underwent bone marrow biopsy to explore thrombocytopenia. Diagnosis of visceral leishmaniasis was made by identification of Leishman Donovan (LD) bodies in macrophages. Treatment with liposomal amphotericin B was successful. She later developed cutaneous leishmaniasis treated with amphotericin B lipid complex. She next presented with relapsing cutaneous lesions followed by rapidly progressing lymphadenopathies. Biopsy confirmed the diagnosis of leishmaniasis. Treatments by miltefosine, amphotericin B, N-methyl-glucamine antimoniate were subsequently initiated. She later presented a recurrent bone marrow involvement treated with intramuscular paromomycin and miltefosine. She died two years later from leukemia. At the time of death, she presented with a mucosal destruction of the nose. A Leishmania-specific PCR (Polymerase Chain Reaction) identified L. infantum as etiological agent.

conclusionsClinicians should be aware of the potential concomitant or sequential involvement of multiple anatomic localizations of Leishmania in immunosuppressed patients.

Indexed as

Amphotericin BAntiprotozoal AgentsBiopsyFemaleHumansImmunocompromised HostLeishmaniaLeishmaniasis, CutaneousLeishmaniasis, VisceralMacrophagesMiddle AgedParomomycinPhosphorylcholinePolymerase Chain ReactionRecurrenceAmphotericin BAntiprotozoal Agentsliposomal amphotericin BmiltefosineParomomycinPhosphorylcholineCutaneous leishmaniasisImmunosuppressionMicrobiologyMucosal leishmaniasisParasitologyVisceral leishmaniasis

Identifiers

PMID28687071
PMCPMC5501116
OpenAlexW2730415644

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.