Evidence map›Paper›PMID 29623212›Full record

ArticleJMM case reports2018

First report of Lyme disease in Nepal.

Sher Bahadur Pun, Sumit Agrawal, Santoshananda Jha, Lila Nath Bhandari, Bimal Sharma Chalise, Abadhesh Mishra, Rajesh Shah

Abstract readCase Reports
In one paragraph

Article in JMM case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Perception of Ticks and Tick-Borne Diseases Worldwide.Pathogens (Basel, Switzerland) · 2023
    Review
  4. Article
  5. Article
  6. Tick infestation on the lower eyelid in an elderly female: a case report.Journal of parasitic diseases : official organ of the Indian Society for Parasitology · 2021
    Article
  7. Dermoscopy-Assisted Tick Extraction.Indian dermatology online journal
    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

7 authors.

Sher Bahadur PunSukraraj Tropical and Infectious Disease Hospital, Teku, Kathmandu, Nepal.
Sumit AgrawalSukraraj Tropical and Infectious Disease Hospital, Teku, Kathmandu, Nepal.
Santoshananda JhaSukraraj Tropical and Infectious Disease Hospital, Teku, Kathmandu, Nepal.
Lila Nath BhandariSukraraj Tropical and Infectious Disease Hospital, Teku, Kathmandu, Nepal.
Bimal Sharma ChaliseSukraraj Tropical and Infectious Disease Hospital, Teku, Kathmandu, Nepal.
Abadhesh MishraSukraraj Tropical and Infectious Disease Hospital, Teku, Kathmandu, Nepal.
Rajesh ShahSukraraj Tropical and Infectious Disease Hospital, Teku, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLyme disease is a tick-borne illness caused by the spirochete CASE PRESENTATION: A 32-year-old, previously healthy female visited the hospital with a history of joint pains, fatigue, neck stiffness, tingling sensation and headache. She was initially treated for typhoid fever, brucellosis and malaria, but did not show significant improvement. Doxycycline was prescribed empirically for 3 weeks for the treatment of suspected tick-borne illness. A two-tiered immunoglobulin laboratory testing confirmed

conclusionTo the best of our knowledge, this is the first report of Lyme disease in Nepal and probably the first documented case of post-treatment Lyme disease syndrome in Asia. Lyme disease might have been overlooked in Nepal and, therefore, patients having clinical signs and symptoms similar to Lyme disease should not be disregarded in differential diagnosis.

Indexed as

doxycyclineLyme diseaseNepalwestern blot test

Identifiers

PMID29623212
PMCPMC5884958

What OpenQuestion holds

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Registered trials

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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.