Evidence map›Paper›PMID 32404324›Full record

ArticleBMJ case reports2020

Bilateral adrenal histoplasmosis presenting as adrenal insufficiency in an immunocompetent host in the Philippines.

Ma Carrissa Abigail Roxas, Mark Anthony Santiago Sandoval, Maria Sonia Salamat, Patrick Joseph Matias, Nikko Paolo Cabal, Samantha S Bartolo

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% 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, 7 citations in OpenAlex.

  1. Review
  2. Article
  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 1 institution in 1 country.

Ma Carrissa Abigail RoxasDepartment of Medicine, Division of Endocrinology, Diabetes and Metabolism, College of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines abiroxas@gmail.com.ORCID http://orcid.org/0000-0002-2864-2879
Mark Anthony Santiago SandovalDepartment of Medicine, Division of Endocrinology, Diabetes and Metabolism, College of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.ORCID http://orcid.org/0000-0003-0622-8287
Maria Sonia SalamatDepartment of Medicine, Division of Infectious Disease, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Patrick Joseph MatiasDepartment of Surgery, Division of Urology, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Nikko Paolo CabalDepartment of Laboratories, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Samantha S BartoloDepartment of Medicine, Division of Infectious Disease, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Philippine General Hospital · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disseminated histoplasmosis, with the adrenal glands as being the only site of demonstrable disease in an immunocompetent adult, is a rare infection leading to adrenal insufficiency. This disease carries high mortality when unrecognised. We describe the first reported case of adrenal histoplasmosis in the Philippines in a 72-year-old immunocompetent, Filipino man who presented with a 3-month history of intermittent flank pain, weight loss and generalised weakness. His imaging demonstrated bilateral adrenal masses on ultrasonography and contrast-enhanced CT scan. The initial impression was adrenal cancer, however, fine-needle aspiration cytology revealed the presence of yeast cells and blood culture grew

Indexed as

Adrenal InsufficiencyAgedAntifungal AgentsDiagnosis, DifferentialGlucocorticoidsHistoplasmaHistoplasmosisHumansImmunocompromised HostItraconazoleMalePhilippinesPrednisoneAntifungal AgentsGlucocorticoidsItraconazolePrednisoneadrenal disorderstropical medicine (infectious disease)

Identifiers

PMID32404324
PMCPMC7228487
OpenAlexW3025340789

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.