Evidence map›Paper›PMID 28791185›Full record

ArticleCase reports in critical care2017

Use of Hemadsorption in a Case of Pediatric Toxic Shock Syndrome.

Andrea Berkes, Edit Szikszay, János Kappelmayer, Adrienne Kerényi, Tamás Szabó, László Ujhelyi, Krisztina Bari, György Balla, József Balla

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in critical care, 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
1.0field-weighted citation impact, top 24% 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, 17 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Hemoadsorption contribution in neonatal cardiac surgery.Frontiers in cardiovascular medicine · 2025
    Article
  6. Hemoperfusion with CytoSorbJournal of clinical medicine · 2024
    Article
  7. Article
  8. 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

9 authors at 1 institution in 1 country.

Andrea BerkesDepartment of Pediatrics, University of Debrecen, Debrecen 4012, Hungary.
Edit SzikszayDepartment of Pediatrics, University of Debrecen, Debrecen 4012, Hungary.
János KappelmayerInstitute of Laboratory Medicine, University of Debrecen, Debrecen 4012, Hungary.ORCID 0000-0002-3599-4717
Adrienne KerényiInstitute of Laboratory Medicine, University of Debrecen, Debrecen 4012, Hungary.
Tamás SzabóDepartment of Pediatrics, University of Debrecen, Debrecen 4012, Hungary.
László UjhelyiDepartment of Medicine, Faculty of Medicine, University of Debrecen, Debrecen 4012, Hungary.
Krisztina BariFresenius Medical Care, NephroCare University of Debrecen, Debrecen 4012, Hungary.
György BallaDepartment of Pediatrics, University of Debrecen, Debrecen 4012, Hungary.
József BallaDepartment of Medicine, Faculty of Medicine, University of Debrecen, Debrecen 4012, Hungary.ORCID 0000-0001-7923-2645
University of Debrecen · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundToxic shock syndrome is a potentially fatal toxin-mediated disease. The role of toxins in this clinical entity made us hypothesize that extracorporeal blood purification with CytoSorb® could play a beneficial role in the clinical management of toxic shock syndrome. This case report describes the successful treatment of toxic shock syndrome using a combination of renal replacement therapy and hemadsorption in a pediatric patient. CASE PRESENTATION: A 5-year-old girl with Down's syndrome presented with an inflamed area surrounding an insect bite, signs of systemic inflammation, and multiple organ failure. As previous attempts of immune modulation therapy were unsuccessful, renal replacement therapy was supplemented by the cytokine absorber CytoSorb. Treatment using this combination was associated with a rapid and significant stabilization in the hemodynamic situation and a decrease in inflammatory mediators within hours after the initiation of therapy. The application of CytoSorb therapy was simple and safe.

conclusionThe use of extracorporeal blood purification with CytoSorb proved potentially beneficial by removing toxins and inflammatory mediators in this case and could therefore play a role in the clinical management of toxic shock syndrome. Whether CytoSorb has the potential to even positively influence mortality in patients with toxic shock syndrome still needs to be confirmed.

Identifiers

PMID28791185
PMCPMC5534280
OpenAlexW2735700559

What OpenQuestion holds

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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.