Evidence map›Paper›PMID 32014989›Full record

ArticleBMJ case reports2020

Rifampicin induced shock during re-exposure for treatment of latent tuberculosis.

Christopher Francis Harlow, Jamilah Meghji, Laura Martin, Timothy Harris, Onn Min Kon

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  2. Rifampin-induced flu-like syndrome with shock in a patient with tuberculosis infection.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Christopher Francis HarlowDepartment of Chest and Allergy, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK cfharl@aol.com.ORCID http://orcid.org/0000-0003-2912-0594
Jamilah MeghjiDepartment of Chest and Allergy, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Laura MartinDepartment of Chest and Allergy, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Timothy HarrisDepartment of Chest and Allergy, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Onn Min KonDepartment of Chest and Allergy, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Imperial College Healthcare NHS Trust · GB

Funding

Medical Research Council MR/S02042X/1
6 · The paper itself

Abstract

We present a case of a young Asian female with rheumatoid arthritis who received latent tuberculosis infection (LTBI) treatment prior to treatment with a biologic agent, and developed shock with resistant hypotension on re-exposure to rifampicin. We discuss the epidemiology, pathophysiology and management of rifampicin induced shock, concluding that clinicians should be aware of this rare, but potential adverse effect, and be aware that adverse reactions to rifampicin are more frequent during re-exposure or longer dosing interval regimes. The evidence for desensitisation following such a reaction is lacking and this approach is not currently recommended. We would suggest close collaboration between specialties prescribing immunosuppression and the tuberculosis team when LTBI treatment is required after a reaction, with patient involvement to discuss the risks and benefits of treatment options.

Indexed as

AdultAntitubercular AgentsFemaleFluid TherapyHumansHypotensionLatent TuberculosisRetreatmentRifampinShock, SepticAntitubercular AgentsRifampindrugs: infectious diseasesdrugs: respiratory systeminfectionstuberculosisunwanted effects/adverse reactions

Identifiers

PMID32014989
PMCPMC7021163
OpenAlexW3004352380

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.