Evidence map›Paper›PMID 30567495›Full record

ArticleBMC infectious diseases2018

Early sofosbuvir-ledipasvir treatment for acute HCV infection induced severe immune thrombocytopenia - a case report.

Vincent Alcazer, Patrick Miailhes, Christophe Ramière, Caroline Charre, Laurent Cotte

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 1 country.

Vincent AlcazerDépartement d'hématologie clinique, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495, Pierre-Bénite, France. vincent.alcazer@chu-lyon.fr.ORCID http://orcid.org/0000-0003-1843-6286
Patrick MiailhesService des maladies infectieuses et tropicales, Hospices Civils de Lyon, Hôpital de la Croix Rousse, 69004, Lyon, France.
Christophe RamièreInserm U1052, Centre de Recherche en Cancérologie de Lyon, 69008, Lyon, France.
Caroline CharreInserm U1052, Centre de Recherche en Cancérologie de Lyon, 69008, Lyon, France.
Laurent CotteService des maladies infectieuses et tropicales, Hospices Civils de Lyon, Hôpital de la Croix Rousse, 69004, Lyon, France.
Inserm · FRHôpital de la Croix-Rousse · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis C virus (HCV) infection is a recognised cause of secondary immune thrombocytopenia (ITP). While its incidence has been largely described during chronic HCV infection, only one case of ITP secondary to acute HCV infection has been reported at this time. CASE PRESENTATION: We report herein the case of severe ITP secondary to an acute HCV genotype 1a reinfection in a human immunodeficiency virus (HIV)-negative man having sex with men who had been cured several years before of a previous acute genotype 4d HCV infection. After an unsuccessful standard therapy with two courses of intravenous immunoglobulin (at 1 g/kg daily for 2 days) associated with methylprednisolone 1 mg/kg daily, antiviral treatment with sofosbuvir-ledipasvir rapidly achieved virological response and normalised the platelet count.

conclusionsAs a direct effect of HCV on megakaryocytes could be the predominant cause of ITP during acute infection, early antiviral treatment may be beneficial in this case.

Indexed as

Early Medical InterventionAcute DiseaseAntiviral AgentsBenzimidazolesFluorenesHepacivirusHepatitis CHumansMaleMiddle AgedPurpura, Thrombocytopenic, IdiopathicSeverity of Illness IndexSofosbuvirTime FactorsUridine MonophosphateAntiviral AgentsBenzimidazolesFluorenesledipasvir, sofosbuvir drug combinationSofosbuvirUridine MonophosphateAcute immune thrombocytopeniaHepatitis C virusSofosbuvir-ledipasvir

Identifiers

PMID30567495
PMCPMC6300032
OpenAlexW2904430709

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.