Evidence map›Paper›PMID 33247375›Full record

ArticlePaediatric drugs2021

Paediatric Agranulocytosis Associated with Metamizole Treatment.

Ömer Kılıç, Merve İşeri Nepesov, Hasan Bora Ulukapı, Zeynep Canan Özdemir, Özcan Bör, Ener Çağrı Dinleyici

Abstract read
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In one paragraph

Article in Paediatric drugs, 2021. 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
0.9field-weighted citation impact, top 22% 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, 7 citations in OpenAlex.

  1. Article
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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.

Ömer KılıçDivision of Pediatric Infectious Diseases, Department of Pediatrics, Eskişehir Osmangazi University Medical Faculty, Eskişehir, Turkey. omerkilic7@yahoo.com.ORCID http://orcid.org/0000-0003-0168-4080
Merve İşeri NepesovDivision of Pediatric Infectious Diseases, Department of Pediatrics, Eskişehir Osmangazi University Medical Faculty, Eskişehir, Turkey.ORCID http://orcid.org/0000-0003-4584-1818
Hasan Bora UlukapıDepartment of Pediatrics, Eskişehir Osmangazi University Medical Faculty, Eskişehir, Turkey.ORCID http://orcid.org/0000-0002-1893-1036
Zeynep Canan ÖzdemirDivision of Pediatric Hematology-Oncology, Eskişehir Osmangazi University Medical Faculty, Eskişehir, Turkey.ORCID http://orcid.org/0000-0002-9172-9627
Özcan BörDivision of Pediatric Hematology-Oncology, Eskişehir Osmangazi University Medical Faculty, Eskişehir, Turkey.ORCID http://orcid.org/0000-0002-1662-3259
Ener Çağrı DinleyiciDepartment of Pediatrics, Eskişehir Osmangazi University Medical Faculty, Eskişehir, Turkey.ORCID http://orcid.org/0000-0002-0339-0134
Eskişehir Osmangazi University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMetamizole, which has antipyretic and pain-relieving properties, is generally used to treat fever in children who do not respond to paracetamol treatment. The most remarkable side effect of metamizole is that it causes myelotoxicity independently of dose. In this study, we aimed to present the clinical features of paediatric patients who developed agranulocytosis after the use of metamizole and draw attention to this side effect.

methodsThe patients who were admitted to Eskişehir Osmangazi University Faculty of Medicine Hospital, Pediatric Infectious Diseases and Pediatric Hematology Service, between January 1, 2015, and December 31, 2018, with a diagnosis of secondary agranulocytosis to metamizole use were examined retrospectively.

resultsIn all, 12 patients were included in the study; oral metamizole was used in these patients for fever reduction. The mean absolute neutrophil count was 225/mm

conclusionThe development of agranulocytosis after the use of metamizole causes long-term hospitalisation and may require the use of medications in treatment management. Considering the availability of alternative options to treat fever and pain, and given the side-effect profile of metamizole, it should not be the preferred, first-line antipyretic treatment in children.

Indexed as

AdolescentAgranulocytosisAnti-Inflammatory Agents, Non-SteroidalAntipyreticsChildChild, PreschoolDipyroneFemaleHumansInfantMalePainRetrospective StudiesAnti-Inflammatory Agents, Non-SteroidalAntipyreticsDipyrone

Identifiers

PMID33247375
OpenAlexW3106616884

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.