Evidence map›Paper›PMID 28780656›Full record

ArticlePediatric nephrology (Berlin, Germany)2017

HUS-induced cardiac and circulatory failure is reversible using cardiopulmonary bypass as rescue.

René F Andersen, Jesper V Bjerre, Johan V Povlsen, Mette Veien, Konstantinos Kamperis, Søren Rittig

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2017. 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
0.6field-weighted citation impact, top 32% 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, 11 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

6 authors at 1 institution in 1 country.

René F AndersenPediatrics and Adolescent Medicine, Aarhus University Hospital, Palle Juhl Jensen's Boulevard, 99, 8200, Aarhus N, Denmark. rfa@clin.au.dk.ORCID http://orcid.org/0000-0001-8045-7147
Jesper V BjerrePediatrics and Adolescent Medicine, Aarhus University Hospital, Palle Juhl Jensen's Boulevard, 99, 8200, Aarhus N, Denmark.
Johan V PovlsenDepartment of Renal Medicine, Aarhus University Hospital, Aarhus N, Denmark.
Mette VeienDepartment of Anesthesiology, Aarhus University Hospital, Aarhus N, Denmark.
Konstantinos KamperisPediatrics and Adolescent Medicine, Aarhus University Hospital, Palle Juhl Jensen's Boulevard, 99, 8200, Aarhus N, Denmark.
Søren RittigPediatrics and Adolescent Medicine, Aarhus University Hospital, Palle Juhl Jensen's Boulevard, 99, 8200, Aarhus N, Denmark.
Aarhus University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtra-renal involvement in hemolytic uremic syndrome (HUS) includes gastrointestinal, pancreatic, hepatic, neurological and cardiac manifestations. The current 3-5% mortality rate in HUS patients is primarily attributed to complications related to the central nervous system and the heart. In this brief report, we illustrate that severe cardiac involvement in a patient with HUS is potentially reversible using cardiopulmonary bypass as rescue. CASE-DIAGNOSIS/TREATMENT: A 12-year-old boy was diagnosed with enterohemorrhagic Escherichia coli-induced HUS related to E. coli serotypes O55:H7 and O121:H19. The patient developed anuria and hypertension of 150/105 mmHg and had neurological symptoms, with lethargy, confusion and later a tonic-clonic seizure successfully treated with midazolam. Laboratory tests on blood samples revealed acute renal failure, with a creatinine level of 3.98 mg/dL, thrombocytopenia of 47 × 10

conclusionsFatal outcome in patients with HUS may be the result of severe cardiac involvement. The present case illustrates the need for intensive supportive care, including the use of CPB, as the cardiac symptoms in HUS patients may be reversible. We suggest the monitoring of cardiac-specific enzymes, ECG and echocardiography in high-risk patients.

Indexed as

Cardiopulmonary BypassChildElectrocardiographyEscherichia coliEscherichia coli InfectionsHeartHeart ArrestHeart FailureHemolytic-Uremic SyndromeHumansKidneyMalePeritoneal DialysisCardiac failureCardiopulmonary bypassEculizumabHUSTroponin

Identifiers

PMID28780656
OpenAlexW2744183393

What OpenQuestion holds

Textmetadata
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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.