Evidence map›Paper›PMID 33304812›Full record

ArticleIDCases2021

A case of severe pneumonia with viremia caused by adenovirus B7 identified by off-label use of a multiplex PCR system.

Akie Sakakura, Yusaku Akashi, Masanari Shiigai, Hiroki Isono, Hiromichi Suzuki, Yumi Hirose

Open access · goldAbstract readCase Reports
In one paragraph

Article in IDCases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 86% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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 2 institutions in 1 country.

Akie SakakuraDepartment of General Medicine and Primary Care, Tsukuba Medical Center Hospital, Ibaraki, 305-8558, Japan.
Yusaku AkashiDivision of Infectious Diseases, Department of Medicine, Tsukuba Medical Center Hospital, Ibaraki, 305-8558, Japan.
Masanari ShiigaiDepartment of Radiology, Tsukuba Medical Center Hospital, Ibaraki, 305-8558, Japan.
Hiroki IsonoDepartment of General Medicine, HITO Hospital, Ehime, 799-0121, Japan.
Hiromichi SuzukiDivision of Infectious Diseases, Department of Medicine, Tsukuba Medical Center Hospital, Ibaraki, 305-8558, Japan.
Yumi HiroseDepartment of General Medicine and Primary Care, Tsukuba Medical Center Hospital, Ibaraki, 305-8558, Japan.
Tsukuba Medical Center Hospital · JPUniversity of Tsukuba Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe infection with human adenovirus (HAdV) is uncommon in adults, and the lack of reliable point-of-care testing makes the diagnosis challenging. A 39-year-old immunocompetent Indian man developed severe pneumonia, and his condition became life-threatening despite antimicrobial therapy. While sputum and blood cultures remained negative, a multiplex PCR respiratory panel (Filmarray Respiratory Panel), which is only approved for use with nasopharyngeal samples, detected HAdV in the serum and tracheal aspirates on day 5. We therefore initiated ganciclovir, steroids, and intravenous immunoglobulin. The patient's respiratory condition improved significantly, and he eventually recovered without complications. We later confirmed that conventional PCR of serum detected HAdV-B7. Our case illustrated that a respiratory panel using multiplex PCR successfully detected HAdV in unapproved samples. Such off-label analyses may support the early diagnosis of infections caused by pathogens that are difficult to identify by routine microbiological examination.

Indexed as

Adenovirus pneumoniaFilmarray respiratory panelGanciclovirmultiplex PCROff-label analysisViremia

Identifiers

PMID33304812
PMCPMC7718441
OpenAlexW3105544927

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.