Evidence map›Paper›PMID 32303196›Full record

ArticleBMC infectious diseases2020

A case of Henoch-Schönlein purpura associated with scrub typhus.

Jae Hyoung Im, Suk Jin Choi, Moon-Hyun Chung, Seung Yun Lee, Young Kyoung Park, Hea Yoon Kwon, Ji Hyeon Baek, Jin-Soo Lee

Abstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Leukocytoclastic Vasculitis: A peculiar presentation of scrub typhus.Sultan Qaboos University medical journal · 2023
    Article
  4. 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

8 authors.

Jae Hyoung ImDivision of Infectious Diseases, Department of Internal Medicine, Inha University College of Medicine, 7-206, Shinheung-Dong, Jung-Gu, Incheon, 22332, Republic of Korea.
Suk Jin ChoiDepartment of Pathology, Inha University College of Medicine, Incheon, Republic of Korea.
Moon-Hyun ChungDepartment of Internal Medicine, Seogwipo Medical Center, Jeju, Jeju-do, Republic of Korea.
Seung Yun LeeDivision of Rheumatology,Department of Internal Medicine, Inha University College of Medicine, Incheon, Republic of Korea.
Young Kyoung ParkTranslation Research Center, Inha University College of Medicine, Incheon, Republic of Korea.
Hea Yoon KwonDivision of Infectious Diseases, Department of Internal Medicine, Inha University College of Medicine, 7-206, Shinheung-Dong, Jung-Gu, Incheon, 22332, Republic of Korea.
Ji Hyeon BaekDivision of Infectious Diseases, Department of Internal Medicine, Inha University College of Medicine, 7-206, Shinheung-Dong, Jung-Gu, Incheon, 22332, Republic of Korea.
Jin-Soo LeeDivision of Infectious Diseases, Department of Internal Medicine, Inha University College of Medicine, 7-206, Shinheung-Dong, Jung-Gu, Incheon, 22332, Republic of Korea. ljinsoo@inha.ac.kr.

Funding

National Research Foundation of Korea 2017R1A6A3A11028403 and 2017R1D1A1B03029939
6 · The paper itself

Abstract

backgroundHenoch-Schönlein purpura (HSP) may be caused by several allergens. However, to date, HSP caused by Orientia tsutsugamushi has not been reported. Here, we report an unusual rash with features of HSP caused by Orientia tsutsugamushi. CASE PRESENTATION: A man visited a tertiary hospital with bilateral symmetrical purpura and fever. He presented with an eschar in the left popliteal fossa and proteinuria. He was diagnosed with tsutsugamushi disease by indirect fluorescent antibody and positive polymerase chain reaction tests. Purpura biopsy demonstrated a feature of leukocytoclastic vasculitis and IgA deposition in dermal vessels, indicative of HSP.

conclusionsWhen examining patients with unique rashes, such as in this case, we suggest investigating out-door activities and evidence of mite bites. Furthermore, differential diagnosis of tsutsugamushi disease should be considered when necessary.

Indexed as

Anti-Bacterial AgentsBiopsyDiagnosis, DifferentialHumansIgA VasculitisMaleMiddle AgedOrientia tsutsugamushiScrub TyphusSkinTreatment OutcomeAnti-Bacterial AgentsCase reportCutaneous, LeukocytoclasticHenoch-SchönleinOrientia tsutsugamushiScrub typhus

Identifiers

PMID32303196
PMCPMC7165380

What OpenQuestion holds

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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.