Evidence map›Paper›PMID 29348280›Full record

ArticleBMJ case reports2018

Marked cachexia in probable invasive pulmonary aspergillosis with bronchopleural fistula.

Christiana Page, Laura Blazy, Melanie Jenkins, Rosalba Spiritoso

Open access · bronzeAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 99% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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 2 institutions in 1 country.

Christiana PageDepartment of Intensive Care, Barts Health NHS Trust, St Bartholomew's Hospital, London, UK.
Laura BlazyDepartment of Intensive Care, Saint George's Hospital, London, UK.ORCID http://orcid.org/0000-0001-6333-5471
Melanie JenkinsDepartment of Thoracic Surgery, Saint George's Healthcare NHS Trust, St George's Hospital, London, UK.
Rosalba SpiritosoDepartment of Intensive Care, Barts Health NHS Trust, St Bartholomew's Hospital, London, UK.
St Bartholomew's Hospital · GBSt George's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 49-year-old man with a medical history of diabetes and heavy smoking was admitted to intensive care with severe bilateral pneumonia associated with marked cachexia. He developed a complex right-sided bronchopleural fistula and was transferred to our tertiary centre for consideration of surgical intervention.Despite escalation of antibiotic therapy, he did not improve and further investigations led to a diagnosis of invasive pulmonary aspergillosis. Definitive treatment plans required a right pneumonectomy; however, given the severity of cachexia, he remained unable to undergo such a large operation. This case demonstrates an atypical presentation of invasive pulmonary aspergillosis in a mildly immunodeficient individual. It highlights the challenges in assessment and management of critically ill patients' nutrition as well as optimal timing for surgical intervention.

Indexed as

Bronchial FistulaCachexiaFatal OutcomeHumansInvasive Pulmonary AspergillosisMaleMiddle AgedPleural DiseasesRespiratory Tract Fistulacardiothoracic surgerymalnutritionmechanical ventilationparenteral / enteral feedingTb And other respiratory infections

Identifiers

PMID29348280
PMCPMC5778240
OpenAlexW2783769189

What OpenQuestion holds

Textmetadata
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.