Evidence map›Paper›PMID 33576887›Full record

ReviewRheumatology international2021

Psoas abscess during treatment with intravenous tocilizumab in a patient with rheumatoid arthritis: a case-based review.

Ines Doko Vajdić, Goran Štimac, Ivan Pezelj, Matej Mustapić, Simeon Grazio

Open access · bronzeAbstract readCase ReportsReview
In one paragraph

Review in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Detection ofBioMed research international · 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

5 authors at 2 institutions in 2 countries.

Ines Doko VajdićUniversity Department of Rheumatology, Physical and Rehabilitation Medicine, School of Medicine Zagreb, University Hospital Centre Sestre Milosrdnice, Vinogradska 29, 10000, Zagreb, Croatia.ORCID http://orcid.org/0000-0002-8977-6010
Goran ŠtimacUniversity Department of Urology, University Hospital Centre Sestre Milosrdnice, Vinogradska 29, 10000, Zagreb, Croatia.ORCID http://orcid.org/0000-0002-2894-8069
Ivan PezeljUniversity Department of Urology, University Hospital Centre Sestre Milosrdnice, Vinogradska 29, 10000, Zagreb, Croatia.ORCID http://orcid.org/0000-0001-7083-7672
Matej MustapićDepartment of Radiology, Sahlgrenska University Hospital Gothenburg and Southern Älvsborg Hospital Borås, Borås, Sweden.ORCID http://orcid.org/0000-0002-1743-8709
Simeon GrazioUniversity Department of Rheumatology, Physical and Rehabilitation Medicine, School of Medicine Zagreb, University Hospital Centre Sestre Milosrdnice, Vinogradska 29, 10000, Zagreb, Croatia. simeon.grazio@zg.t-com.hr.ORCID http://orcid.org/0000-0003-3407-0317
University Hospital Centre Zagreb · HRSahlgrenska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interleukin-6 receptor antagonist tocilizumab is a biologic drug used for treating patients with active rheumatoid arthritis (RA) who failed to respond to synthetic or other biologic disease-modifying antirheumatic drugs or where they were contraindicated. Interleukin-6 receptor blockade results in a decrease of disease activity but has some potential adverse effects, the most common being infections. We present a case of a 75-year-old female patient with long-lasting RA, several comorbidities and multiple prior therapies, who developed back pain and general malaise during tocilizumab intravenous treatment. The laboratory findings were typical of toxemia, and the imaging findings revealed large psoas muscle abscess. Surgical and antibiotic treatment was performed with a good outcome. To our knowledge, this has been the first case of a psoas abscess in a patient with RA treated with tocilizumab described in the literature so far. We also present a review of the literature regarding infection, and particularly abscess formation in patients treated with biological disease-modifying antirheumatic drugs, tocilizumab included.

Indexed as

Administration, IntravenousAgedAntibodies, Monoclonal, HumanizedArthritis, RheumatoidCervical VertebraeFemaleHumansInjections, IntravenousMagnetic Resonance ImagingOpportunistic InfectionsPsoas AbscessPsoriasisReceptors, Interleukin-6Treatment OutcomeAntibodies, Monoclonal, HumanizedReceptors, Interleukin-6tocilizumabAbscessArthritisDiagnosisPsoasRheumatoidTocilizumabTreatment

Identifiers

PMID33576887
PMCPMC7880036
OpenAlexW3127319214

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.