Evidence map›Paper›PMID 30021729›Full record

ArticleBMJ case reports2018

Severe herpes simplex virus pneumonia in an elderly, immunocompetent patient.

Toru Ishihara, Hidetaka Yanagi, Hideki Ozawa, Atsushi Takagi

Open access · bronzeAbstract readCase Reports
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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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 2 countries.

Toru IshiharaDivision of General Internal Medicine, Tokai University School of Medicine, Isehara, kanagawa, Japan.
Hidetaka YanagiDivision of General Internal Medicine, Tokai University School of Medicine, Isehara, kanagawa, Japan.
Hideki OzawaDivision of General Internal Medicine, Tokai University School of Medicine, Isehara, kanagawa, Japan.
Atsushi TakagiDivision of General Internal Medicine, Tokai University School of Medicine, Isehara, kanagawa, Japan.
Tokai University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although not common, herpes simplex virus (HSV) pneumonia can occur in immunocompromised patients. However, HSV pneumonia in immunocompetent hosts is very rare. The authors encountered a very rare case of severe HSV pneumonia in an immunocompetent host. The patient was an 85-year-old Japanese woman who presented with severe intractable pneumonia refractory to empirical antimicrobial therapy. Furthermore, the causative microorganisms remained unknown. Therefore, cytological examination of bronchoalveolar lavage fluid and protected brush biopsy of the lower respiratory tract were performed, which indicated herpes virus-infected cells with nuclear inclusions; PCR assay was positive for HSV DNA. Accordingly, the patient was diagnosed with HSV pneumonia. Her respiratory condition improved immediately after initiation of acyclovir monotherapy. In selected cases of intractable pneumonia refractory to standard antimicrobial therapy, the possibility of HSV pneumonia should be pursued.

Indexed as

ImmunocompetenceAcyclovirAged, 80 and overAntiviral AgentsBronchoalveolar Lavage FluidDiagnostic ErrorsDNA, ViralFemaleHerpes SimplexHumansLungPneumonia, ViralSimplexvirusTomography, X-Ray ComputedAcyclovirAntiviral AgentsDNA, Viraladult intensive caregeneral practice / family medicinepneumonia (infectious disease)pneumonia (respiratory medicine)primary care

Identifiers

PMID30021729
PMCPMC6058149
OpenAlexW2883728131

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.