Evidence map›Paper›PMID 33585641›Full record

ArticleWorld journal of clinical cases2021

Atypical presentation of shoulder brucellosis misdiagnosed as subacromial bursitis: A case report.

Fu-Sheng Wang, Khurram Shahzad, Wei-Guo Zhang, Jie Li, Kang Tian

Open access · diamondAbstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 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
0.9field-weighted citation impact, top 30% 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.

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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

5 authors at 1 institution in 1 country.

Fu-Sheng WangDepartment of Bone and Joint, First Hospital of Dalian Medical University, Dalian 116000, Liaoning Province, China.
Khurram ShahzadDepartment of Bone and Joint, First Hospital of Dalian Medical University, Dalian 116000, Liaoning Province, China.
Wei-Guo ZhangDepartment of Bone and Joint, First Hospital of Dalian Medical University, Dalian 116000, Liaoning Province, China.
Jie LiDepartment of Bone and Joint, First Hospital of Dalian Medical University, Dalian 116000, Liaoning Province, China.
Kang TianDepartment of Bone and Joint, First Hospital of Dalian Medical University, Dalian 116000, Liaoning Province, China. dmu-tiankang@outlook.com.
Dalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBrucella infections in the shoulder joint are uncommon, and few have been reported in the literature. CASE SUMMARY: A 26-year-old male was admitted to our hospital with complaint of recurrent pain and limited movement of the right shoulder. The patient reported the pain to have first occurred as an isolated event 6 mo previously and to have reoccurred 5 mo later, when it was accompanied by limited movement of the shoulder. Findings from physical examination and magnetic resonance imaging (referred to as MRI) suggested the diagnosis of subacromial bursitis, and diagnostic paracentesis and arthroscopic debridement were performed. Surprisingly, synovial fluid culture detected brucella, and the finding was confirmed by mass spectrometry of a colony sample. The diagnosis was corrected to brucellosis of the shoulder joint, and antibiotic drug treatment (oral rifampicin and doxycycline) was administrated for 6 wk. The 4-mo postoperative follow-up examination (MRI) yielded normal findings. The 2-year follow-up showed no signs of recurrence.

conclusionThis rare case of brucellosis infection in shoulder highlights the importance of increasing awareness to help avoid misdiagnosis.

Indexed as

BrucellaBrucellosisCase reportMisdiagnosisShoulderSubacromial bursitis

Identifiers

PMID33585641
PMCPMC7852647
OpenAlexW3123656560

What OpenQuestion holds

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Registered trials

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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.