Evidence map›Paper›PMID 29085780›Full record

ArticleIDCases2017

Disseminated histoplasmosis in a patient with common variable immunodeficiency: A coincidence or the result of T cell defects?

Molly E Johnson, Christian Rojas-Moreno, William Salzer, Hariharan Regunath

Open access · goldAbstract readCase Reports
In one paragraph

Article in IDCases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 81% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

4 authors at 1 institution in 1 country.

Molly E JohnsonDepartment of Medicine, University of Missouri, One Hospital Dr, Columbia, MO 65212, United States.
Christian Rojas-MorenoDepartment of Medicine - Divisions of Hospital Medicine and Infectious Diseases, University of Missouri, One Hospital Dr, Columbia, MO 65212, United States.
William SalzerDepartment of Medicine - Divisions of Hospital Medicine and Infectious Diseases, University of Missouri, One Hospital Dr, Columbia, MO 65212, United States.
Hariharan RegunathDepartment of Medicine - Divisions of Hospital Medicine, Infectious Diseases and Critical Care, University of Missouri, One Hospital Dr, Columbia, MO 65212, United States.
University of Missouri Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn endemic regions, histoplasmosis is often seen in hosts with defective cell mediated immunity. We report a case of disseminated histoplasmosis in a patient with common variable immunodeficiency (CVID), a disorder mainly characterized by B cell defects. CASE: A 35 year old male with CVID developed fever, headache, dyspnea and pancytopenia within few weeks of swimming in the Tennessee River. After a non-revealing initial evaluation he was transferred to a tertiary facility for fever of unknown origin, where massive splenomegaly was noted. Clinical course was complicated by hypoxia from extensive bilateral lung infiltrates requiring non-invasive ventilation. Urine and serum

conclusionsOur case highlights the significance of T cell defects in CVID. More research focusing on T cell defects in CVID is required to understand the extent of vulnerability to such intracellular pathogens in CVID.

Indexed as

AST, aspartate aminotransferaseB, basophilsCommon variable immunodeficiencyCT, computed tomographyCVID, common variable immuno deficiencyFever of unknown originHb, hemoglobinHistoplamosisHIV, human immuno deficiency virusIVIG, intravenous immuno globulinLDH, lactate dehydrogenaseL, lymphocytesMassive splenomegalyM, monocytesN, neutrophilsPancytopeniaPCT, procalcitoninWBC, white blood cell

Identifiers

PMID29085780
PMCPMC5651550
OpenAlexW2766722862

What OpenQuestion holds

Textmetadata
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.