Evidence map›Paper›PMID 33742229›Full record

ArticleRheumatology international2021

Multiple system inflammatory syndrome associated with SARS-CoV-2 infection in an adult and an adolescent.

Aliye Bastug, Halide Aslaner, Yesim Aybar Bilir, Nizamettin Kemirtlek, Fahriye Melis Gursoy, Serdal Bastug, Hurrem Bodur

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
11.3field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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  14. [Onset of rheumatoid arthritis after SARS-CoV-2 infection].Revista colombiana de reumatologia · 2022
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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

7 authors at 3 institutions in 2 countries.

Aliye BastugDepartment of Infectious Disease and Clinical Microbiology, University of Health Sciences Turkey, Ankara City Hospital, 1604. Street, No: 9, 06800, Çankaya/Ankara, Turkey. dr.aliye@yahoo.com.ORCID 0000-0002-8831-4877
Halide AslanerDepartment of Infectious Disease and Clinical Microbiology, Ankara City Hospital, 06800, Ankara, Turkey.ORCID 0000-0002-6280-793X
Yesim Aybar BilirDepartment of Infectious Disease and Clinical Microbiology, Ankara City Hospital, 06800, Ankara, Turkey.ORCID 0000-0001-8900-5139
Nizamettin KemirtlekDepartment of Infectious Disease and Clinical Microbiology, Ankara City Hospital, 06800, Ankara, Turkey.ORCID 0000-0001-8649-5865
Fahriye Melis GursoyDepartment of Infectious Disease and Clinical Microbiology, Ankara City Hospital, 06800, Ankara, Turkey.ORCID 0000-0003-2430-0289
Serdal BastugDepartment of Cardiology, Yildirim Beyazit University, Ankara City Hospital, 06800, Ankara, Turkey.ORCID 0000-0002-1400-4614
Hurrem BodurDepartment of Infectious Disease and Clinical Microbiology, University of Health Sciences Turkey, Ankara City Hospital, 1604. Street, No: 9, 06800, Çankaya/Ankara, Turkey.ORCID 0000-0001-7455-1049
Memorial Ankara Hospital · TRÇankaya University · TRAnkara Yıldırım Beyazıt University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multisystem inflammatory syndrome in adults (MIS-A) is a new syndrome related with COVID-19. A case-based review was performed to present real-life experiences in terms of main findings and treatment options. We described two cases with the diagnosis of MIS and searched the literature to review all reported ≥ 18-year-old cases. The PubMed, Scopus, and Web of Science databases were searched. All relevant articles from January 2020 to February 2021 were reviewed. An adolescent and an adult patient (18 and 40 years-old, respectively) with the diagnosis of MIS were presented. Both had the consistent clinical findings with the case definition criteria. Although steroid, intravenous immunoglobulin (IVIG) and supportive care treatments have been suggested in the literature, there exists no treatment guideline for MIS-A. The clinical and laboratory findings of the patients progressively improved with the implementation of the IVIG and the pulse steroid treatments. A total of 51 cases (≥ 18 years-old) with MIS were analyzed. Mean age was 29.4 ± 10 years. Fever (80.4%), gastrointestinal (72.5%), and respiratory symptoms (54.9%) were the predominant symptoms. Cardiovascular abnormalities were the most frequent reported findings (82.4%, 42/51). The dermatological and conjunctival findings were reported in 39.2% and 35.3% of the patients, respectively. The increased level of inflammatory biomarkers was remarkable. Most of the patients were treated successfully with steroid and IVIG. Clinicians managing adult patients should keep in mind the development risk of MIS related with SARS-CoV-2 infection to perform necessary interventions properly without delay. IVIG and pulse steroid treatments are the effective options on clinical improvement.

Indexed as

AdolescentAdultCOVID-19COVID-19 Drug TreatmentFemaleGlucocorticoidsHumansImmunoglobulins, IntravenousMaleMethylprednisoloneSARS-CoV-2Systemic Inflammatory Response SyndromeGlucocorticoidsImmunoglobulins, IntravenousMethylprednisoloneCOVID-19IVIGMIS-AMultisystem inflammatory syndromePulse steroid

Identifiers

PMID33742229
PMCPMC7978449
OpenAlexW3139001345

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.