Evidence map›Paper›PMID 30594148›Full record

ArticleBMC infectious diseases2018

Spotted fever rickettsioses causing myocarditis and ARDS: a case from Sri Lanka.

H M L Y Herath, J M H D Jayasundara, S D N Senadhira, S A M Kularatne, W K S Kularatne

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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Subclinical Cardiac Disturbances AfterTropical medicine and infectious disease · 2026
    Article
  3. Article
  4. Advances in the relationship between coronavirus infection and cardiovascular diseases.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2020
    Review
  5. Article
  6. 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.

H M L Y HerathDepartment of General Medicine, General Hospital (Teaching), Kandy, Sri Lanka. lasithayasanga@gmail.com.ORCID http://orcid.org/0000-0003-2087-287X
J M H D JayasundaraDepartment of General Medicine, General Hospital (Teaching), Kandy, Sri Lanka.
S D N SenadhiraDepartment of General Medicine, General Hospital (Teaching), Kandy, Sri Lanka.
S A M KularatneDepartment of Medicine, Faculty of Medicine, University of Peradeniya, Kandy, Sri Lanka.
W K S KularatneDepartment of General Medicine, General Hospital (Teaching), Kandy, Sri Lanka.
Teaching Hospital Kandy · LKUniversity of Peradeniya · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpotted fever group of rickettsial infections are emerging in Sri Lanka. We describe a patient with rapidly progressing ARDS and myocarditis secondary to spotted fever caused by Rickettsia conorii. ARDS and myocarditis are rare complications of Rickettsia conorii infections and only a few cases are reported to date. CASE PRESENTATION: A 53 years old manual worker presented with fever for 5 days and a skin rash. He was in circulatory failure on admission and developed severe hypoxaemia with gross changes in chest radiograph by next day requiring assisted ventilation. He had myocarditis causing left ventricular failure and acute respiratory distress syndrome. He was confirmed to have spotted fever rickettsial infection with rising titre of indirect immunofluorescence antibodies to Ricketssia conorii and made a complete recovery with appropriate antibiotic therapy and supportive care.

conclusionRickettsial infections can present with diverse manifestations. Even the patients with severe organ involvements such as myocarditis and ARDS can be completely cured if timely identified and treated.

Indexed as

Boutonneuse FeverFeverHumansMaleMiddle AgedMyocarditisRadiography, ThoracicRespiratory Distress SyndromeRickettsia conoriiSri LankaAcute respiratory distress syndromeARDSMyocarditisRickettsia conoriiSpotted fever

Identifiers

PMID30594148
PMCPMC6311067
OpenAlexW2907392200

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.