Evidence map›Paper›PMID 31706289›Full record

ArticleBMC infectious diseases2019

A case report of long treatment with Itraconazole in a patient with chronic Chagas disease.

Pau Bosch-Nicolau, Fernando Salvador, Adrián Sánchez-Montalvá, Elena Sulleiro, Joaquín Burgos, Israel Molina

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
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 2 countries.

Pau Bosch-NicolauDepartment of Infectious Diseases, Vall d'Hebrón, University Hospital, Pº Vall d'Hebrón 119-129, 08035, Barcelona, Spain. pau.boschnicolau@gmail.com.
Fernando SalvadorDepartment of Infectious Diseases, Vall d'Hebrón, University Hospital, Pº Vall d'Hebrón 119-129, 08035, Barcelona, Spain.
Adrián Sánchez-MontalváDepartment of Infectious Diseases, Vall d'Hebrón, University Hospital, Pº Vall d'Hebrón 119-129, 08035, Barcelona, Spain.
Elena SulleiroDepartment of Microbiology, Vall d'Hebron, University Hospital, PROSICS Barcelona, Barcelona, Spain.
Joaquín BurgosDepartment of Infectious Diseases, Vall d'Hebrón, University Hospital, Pº Vall d'Hebrón 119-129, 08035, Barcelona, Spain.
Israel MolinaDepartment of Infectious Diseases, Vall d'Hebrón, University Hospital, Pº Vall d'Hebrón 119-129, 08035, Barcelona, Spain. israelmolina@ymail.com.ORCID http://orcid.org/0000-0001-6642-7515
Vall d'Hebron Hospital Universitari · ESHebron University · PS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent available treatments (benznidazole and nifurtimox) for Chagas disease (CD) show limited efficacy in chronic phase and frequent undesirable effects. Ergosterol synthesis inhibitors (ESI) had been considered as promising drugs for CD treatment and despite its recent poor results in several clinical trials, different strategies have been proposed to optimize its role in this infection. CASE PRESENTATION: We present a case of chronic Chagas disease in patient diagnosed with HIV who received treatment for histoplasmosis with itraconazol during twelve months. Even though T. cruzi rt-PCR was persistently negative during treatment, when itraconazol was stopped she presented with a positive blood rt-PCR.

conclusionSeveral studies using different ESI had been published for CD treatment. Either in vitro or in vivo assays demonstrated activity against T. cruzi of the different triazole derivatives so different clinical trials had been carried out to evaluate its efficacy and safety. Despite contradictory evidence in the animal model, longer treatments along with other treatment strategies previously proposed suggests that ESI failure rates in positive peripheral blood rt-PCR are higher than that obtained with the current treatments of choice.

Indexed as

AdultAnimalsCD4 Lymphocyte CountChagas DiseaseChronic DiseaseFemaleHIV InfectionsHumansItraconazoleTomography, X-Ray ComputedTrypanocidal AgentsTrypanosoma cruziItraconazoleTrypanocidal AgentsChagas diseaseErgosterol synthesis inhibitorsTrypanosoma cruzi

Identifiers

PMID31706289
PMCPMC6842451
OpenAlexW2983855881

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.