Evidence map›Paper›PMID 33102787›Full record

ArticleWellcome open research2020

Case Report: Pulmonary tuberculosis and raised transaminases without pre-existing liver disease- Do we need to modify the antitubercular therapy?

Sanjeev Gautam, Keshav Raj Sigdel, Sudeep Adhikari, Buddha Basnyat, Buddhi Paudyal, Jiwan Poudel, Ujjwol Risal

Open access · goldAbstract readCase Reports
In one paragraph

Article in Wellcome open research, 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
0.5field-weighted citation impact, top 31% 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. 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

7 authors at 1 institution in 1 country.

Sanjeev GautamInternal Medicine, Patan Academy of Health Sciences, Lalitpur, State 3, Nepal.
Keshav Raj SigdelInternal Medicine, Patan Academy of Health Sciences, Lalitpur, State 3, Nepal.
Sudeep AdhikariInternal Medicine, Patan Academy of Health Sciences, Lalitpur, State 3, Nepal.ORCID https://orcid.org/0000-0003-2659-3425
Buddha BasnyatInternal Medicine, Patan Academy of Health Sciences, Lalitpur, State 3, Nepal.ORCID https://orcid.org/0000-0002-1125-2743
Buddhi PaudyalInternal Medicine, Patan Academy of Health Sciences, Lalitpur, State 3, Nepal.ORCID https://orcid.org/0000-0002-5119-4082
Jiwan PoudelInternal Medicine, Patan Academy of Health Sciences, Lalitpur, State 3, Nepal.ORCID https://orcid.org/0000-0001-8264-1394
Ujjwol RisalInternal Medicine, Patan Academy of Health Sciences, Lalitpur, State 3, Nepal.ORCID https://orcid.org/0000-0002-6946-1847
Patan Academy of Health Sciences · NP

Funding

Wellcome Trust
6 · The paper itself

Abstract

We report a case of an adult female with pulmonary tuberculosis who had biochemical evidence of liver injury during the presentation manifested as raised transaminases, but without clinically obvious pre-existing liver disease nor a history of hepatotoxic drug use. This is a fairly common scenario seen in tuberculosis endemic areas; however, this is an under reported condition in the literature and guidelines for its management has not been established. Many clinicians including the authors have treated such cases with modified liver friendly regimens in fear of increasing the hepatotoxicity with standard antitubercular drugs. However, the modified regimens may not be optimal in treating the underlying tuberculosis. In this report, we gave full dose standard drugs, and the liver injury resolved as evidenced by normalization of transaminases. Further research is required in this regard, but the presence of transaminitis with no obvious common underlying etiology may not warrant a modification of standard antitubercular regimen.

Indexed as

liver friendly regimenstandard ATTtransaminitistuberculosis

Identifiers

PMID33102787
PMCPMC7569747
OpenAlexW3096708293

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.