Evidence map›Paper›PMID 33387294›Full record

ReviewInternational journal of hematology2021

Clostridium perfringens sepsis in three patients with acute leukemia and review of the literature.

Fuhong Liu, Song Xue, Yongping Zhang, Jingxian Yang, Jiajun Hu, Di Li, Xiaojun Ma, Jingbo Wang

Open access · bronzeAbstract readCase ReportsReview
In one paragraph

Review in International journal of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Higher abundance ofmSystems · 2026
    Article
  2. Genomic and clinical determinants of extraintestinalmedRxiv : the preprint server for health sciences · 2026
    Article
  3. Sepsis Caused byInfection and drug resistance · 2026
    Article
  4. Article
  5. Liver abscess and septic shock due toFrontiers in medicine · 2025
    Article
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Review
  11. Infection and drug resistance · 2023
    Article
  12. Article
  13. Severe Intravascular Hemolysis fromInfection and drug resistance · 2022
    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

8 authors at 3 institutions in 1 country.

Fuhong Liu *Department of Hematology, Aerospace Center Hospital, No. 15 Yu Quan Road, Beijing, 100049, China.
Song Xue *Department of Hematology, Aerospace Center Hospital, No. 15 Yu Quan Road, Beijing, 100049, China.
Yongping ZhangDepartment of Hematology, Aerospace Center Hospital, No. 15 Yu Quan Road, Beijing, 100049, China.
Jingxian YangDepartment of Laboratory, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, China.
Jiajun HuDepartment of Hematology, Aerospace Center Hospital, No. 15 Yu Quan Road, Beijing, 100049, China.
Di LiDepartment of Hematology, Aerospace Center Hospital, No. 15 Yu Quan Road, Beijing, 100049, China.
Xiaojun Ma *Department of Infectious Diseases, Peking Union Medical College Hospital, No. 1 Shuai Fu Yuan, Beijing, 100005, China. drmaxiaojun@sina.com.
Jingbo Wang *Department of Hematology, Aerospace Center Hospital, No. 15 Yu Quan Road, Beijing, 100049, China. wangjingbo@asch.net.cn.
Aerospace Center Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNPeking University · CN

Funding

China Capital Characteristic Clinic Project Grant No. Z171100001017103
6 · The paper itself

Abstract

In this study, we aimed to improve understanding of the clinical manifestations, laboratory findings, and risk factors of Clostridium perfringens sepsis in patients with acute leukemia and to analyze treatment strategies for improving prognosis. We analyzed clinical manifestations, laboratory data, diagnosis, and treatment strategies in three cases of C. perfringens sepsis in patients with acute leukemia. We also reviewed and analyzed the relevant literature, incorporating our findings into the discussion. All three patients developed septic shock with neutropenia following chemotherapy. Analysis of blood samples confirmed the presence of C. perfringens, and two patients had fulminant intravascular hemolysis and developed multiple organ dysfunction syndrome. Two patients survived and one died despite timely and full-dose antibacterial treatments, blood purification, and noninvasive positive pressure ventilation. Overall, our findings showed that C. perfringens sepsis is rare in patients with acute leukemia but progresses rapidly. A high mortality rate was observed, and patients often experienced refractory shock and intravascular hemolysis. This demonstrates the importance of early detection and diagnosis. Multimodal treatments, including fluid resuscitation, antibiotics, organ support, and blood purification, are essential for success.

Indexed as

Clostridium perfringensAdultAntineoplastic Combined Chemotherapy ProtocolsBiomarkersBiopsyChemotherapy-Induced Febrile NeutropeniaClostridium InfectionsFemaleHumansLeukemiaMaleMiddle AgedPrognosisSepsisTreatment OutcomeYoung AdultBiomarkersAcute leukemiaChemotherapyClostridium perfringensIntravascular hemolysisSepsis

Identifiers

PMID33387294
PMCPMC7776304
OpenAlexW3116871699

What OpenQuestion holds

Textmetadata
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.