Evidence map›Paper›PMID 31024797›Full record

ArticleIDCases2019

Disseminated tuberculosis and hemophagocytic syndrome although TB prophylaxis in patients with inflammatory bowel disease treated with Infliximab.

Modesto Martínez-Pillado, Marina Varela-Durán, Ismael Said-Criado, Pilar Díaz-Parada, María Rodríguez-Losada, María Mendoza-Pintos

Open access · goldAbstract readCase Reports
In one paragraph

Article in IDCases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 49% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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

6 authors at 2 institutions in 1 country.

Modesto Martínez-PilladoQuality Unit, Instituto de Investigación Sanitaria Galicia Sur, (IISGS), Spain.
Marina Varela-DuránReanimation Unit, Anesthesia and Reanimation Department, Hospital Montecelo, Pontevedra, Spain.
Ismael Said-CriadoPovisa Hospital, Hospital Montecelo, Pontevedra, Instituto de Investigación Sanitaria Galicia Sur, (IISGS), Spain.
Pilar Díaz-ParadaReanimation Unit, Anesthesia and Reanimation Department, Hospital Montecelo, Pontevedra, Spain.
María Rodríguez-LosadaReanimation Unit, Anesthesia and Reanimation Department, Hospital Montecelo, Pontevedra, Spain.
María Mendoza-PintosReanimation Unit, Anesthesia and Reanimation Department, Hospital Montecelo, Pontevedra, Spain.
Hospital Montecelo · ESPovisa Hospital · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe present de case of a 27-year-old woman admitted to ICU after scheduled splenectomy to study her short course of fever, leukopenia and splenic space-occupying lesions and splenomegaly. She has been previously treated with Infliximab due to indeterminate colitis and completed correct tuberculosis prophylaxis. MATERIALS AND

methodsWe reviewed our case in our regional Electronic Health DataBase IANUS and compared it with other case reports in literature, found in PubMed, with keywords tuberculosis, inflammatory disease and hemophagocytic lymphohistiocytosis.

resultsAfter splenectomy, she needed intensive care due to acute respiratory failure, alveolar-interstitial pulmonary infiltrates, right pleural effusion and fever. Bone marrow aspirate resulted in hemophagocytic lymphohistiocytosis. Only multidisciplinary management in ICU and combined treatment with chemotherapy for hemophagocytic syndrome and tuberculostatics achieved her curation.

conclusionTuberculosis must always be considered in the differential diagnosis of hemophagocytic lymphohistiocytosis and acute respiratory failure despite correct prior prophylaxis.

Identifiers

PMID31024797
PMCPMC6477117
OpenAlexW2936266210

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.