Evidence map›Paper›PMID 32733908›Full record

ArticleFrontiers in medicine2020

False Positive COVID-19 Antibody Test in a Case of Granulomatosis With Polyangiitis.

Argyrios Tzouvelekis, Theodoros Karampitsakos, Anastasia Krompa, Evangelos Markozannes, Demosthenes Bouros

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.3field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 28 citations in OpenAlex.

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  11. Evaluation of four commercial severe acute respiratory coronavirus 2 antibody tests.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2021
    Article
  12. Article
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  14. New Onset Granulomatosis with Polyangiitis Associated with COVID-19.Case reports in dermatological medicine · 2021
    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

5 authors at 1 institution in 1 country.

Argyrios TzouvelekisFirst Academic Department of Respiratory Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Theodoros KarampitsakosFirst Academic Department of Respiratory Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Anastasia KrompaFirst Academic Department of Respiratory Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Evangelos MarkozannesFirst Academic Department of Respiratory Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Demosthenes BourosFirst Academic Department of Respiratory Medicine, National and Kapodistrian University of Athens, Athens, Greece.
National and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Collateral damage due to 2019 novel coronavirus disease (COVID-19) represents an emerging issue. Symptoms of COVID-19 are not disease-specific. Differential diagnosis is challenging and the exclusion of other life-threatening diseases has major caveats. In the era of this pandemic, diagnosis of other life-threatening diseases might delay treatment. The Food and Drug Administration has recently authorized the first antibody-based test for COVID-19; however, RT-PCR of nasopharyngeal or oropharyngeal swabs remains the recommended test for diagnosis. We present the first report of a false positive COVID-19 antibody test in a case of Granulomatosis with Polyangiitis (GPA). Specifically, the case concerns an 82-year-old female, never smoker, who was admitted to our hospital with symptoms of fever and general fatigue that had lasted 7 days. She already had a positive IgM test for COVID-19, yet multiple RT-PCR tests had returned as negative for SARS-CoV-2. In the following days, her renal function deteriorated, while hematuria and proteinuria with active urinary sediment developed. Based on high clinical suspicion for ANCA-associated vasculitis, we performed a complete immunologic profile which revealed positive c-ANCA with elevated titers of anti-PR3. Pulses of methylprednisolone along with cyclophosphamide were applied. At day 10, treatment response was noticed as indicated by respiratory and renal function improvement. This report highlights the need for meticulous patient evaluation in order to avoid misdiagnosis in the era of COVID-19.

Indexed as

antibodiesCOVID-19cross-reactivityfalse positivegranulomatosis with polyangiitis

Identifiers

PMID32733908
PMCPMC7358541
OpenAlexW3041766552

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.