Evidence map›Paper›PMID 32552909›Full record

ArticleJournal of medical case reports2020

Atypical case of hantavirus infection in Sri Lanka mimicking leptospirosis: a case report.

Chamara Dalugama, Madushi Nanayakkara, Nimanthi Rathnayaka, Arjuna Medagama

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical 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
0.1field-weighted citation impact, top 54% 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, 3 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 1 institution in 1 country.

Chamara DalugamaDepartment of Medicine, University of Peradeniya, Peradeniya, Sri Lanka. chamaradalugama@yahoo.com.
Madushi NanayakkaraUniversity Medical Unit, Teaching Hospital, Peradeniya, Sri Lanka.
Nimanthi RathnayakaUniversity Medical Unit, Teaching Hospital, Peradeniya, Sri Lanka.
Arjuna MedagamaDepartment of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
University of Peradeniya · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHantavirus infection is an emerging zoonotic infection which has two characteristic patterns of presentation: hantavirus pulmonary syndrome and hemorrhagic fever with renal syndrome. The clinical presentation of hantavirus infection closely mimics leptospirosis. CASE PRESENTATION: This case report describes a previously apparently well 36-year-old Sri Lankan Sinhalese man who presented with an acute febrile illness with myalgia, with liver involvement in the form of transaminitis, cardiac involvement in the form of myocarditis, acute kidney injury, and pulmonary involvement. He was initially managed as severe leptospirosis with multiorgan dysfunction with antibiotics, steroids, and N-acetyl cysteine. A diagnosis of acute hantavirus infection was made subsequently. He made an uneventful recovery.

conclusionHantavirus infections need to considered in the differential diagnosis of patients presenting with acute febrile illness with multiorgan involvement. Larger studies are needed to evaluate the seroprevalence of hantavirus in Sri Lanka because it could be an emerging serious public health problem.

Indexed as

Acute Kidney InjuryAdultAlanine TransaminaseAlkaline PhosphataseArthralgiaBilirubinDiagnosis, DifferentialDyspneaFarmersFeverHantavirus InfectionsHepatomegalyHumansLeptospirosisMaleMuscle CrampAlanine TransaminaseAlkaline PhosphataseBilirubinTransaminasesHantavirusHantavirus pulmonary syndromeHemorrhagic fever with renal syndromeLeptospirosisMultiorgan dysfunction

Identifiers

PMID32552909
PMCPMC7301464
OpenAlexW3035859579

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.