Evidence map›Paper›PMID 29318053›Full record

ArticleCase reports in critical care2017

Miliary Tuberculosis Presenting with ARDS and Shock: A Case Report and Challenges in Current Management and Diagnosis.

Keevan Singh, Saara Hyatali, Stanley Giddings, Kevin Singh, Neal Bhagwandass, Neil Bhagwandass

Erratum issuedOpen 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. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Keevan SinghAnaesthesia and Intensive Care Department, San Fernando General Hospital and Department of Clinical Surgical Sciences, University of the West Indies, San Fernando, Trinidad, Trinidad and Tobago.ORCID 0000-0001-7406-0063
Saara HyataliInternal Medicine Department, San Fernando General Hospital, San Fernando, Trinidad and Tobago.
Stanley GiddingsInfectious Disease Unit, San Fernando General Hospital and Department of Clinical Medical Sciences, University of the West Indies, San Fernando, Trinidad, Trinidad and Tobago.
Kevin SinghInternal Medicine Department, San Fernando General Hospital, San Fernando, Trinidad and Tobago.
Neal Bhagwandass
Neil Bhagwandass *Internal Medicine Department, San Fernando General Hospital, San Fernando, Trinidad and Tobago.ORCID 0000-0002-9838-7148
San Fernando General Hospital · TT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Miliary tuberculosis, complicated by ARDS and septic shock, is a rare and lethal presentation of this disease. Here we present a case of such a patient, following which we discuss the management of tuberculosis in the ICU and some of the challenges that may be faced. A young HIV negative female presented to us with an acute history of worsening shortness of breath on a background of weight loss, nonproductive cough, and fever. CXR and CT scan showed bilateral miliary type opacities and the patient was admitted to the hospital. Within forty-eight hours of admission she became hypoxemic and was intubated and transferred to the ICU. There she experienced worsening organ dysfunction and developed circulatory shock. Despite escalating doses of noradrenaline, she continued to decline and died before specific anti-TB treatment could be started. Timely diagnosis and treatment initiation are the keys to improving outcomes in critically ill TB patients. However there are many challenges in doing so, especially in a general ICU located in a country with a low TB incidence.

Identifiers

PMID29318053
PMCPMC5727565
OpenAlexW2770351496

What OpenQuestion holds

Textmetadata
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.