Evidence map›Paper›PMID 33795270›Full record

ArticleBMJ case reports2021

Prednisolone: role in amoxicillin-clavulanate-induced cholestatic liver injury.

Melvin Qiyu Lee, Royale Chigozie, Irfan Khan, Gerard O'Mara

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 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
0.2field-weighted citation impact, top 50% 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. 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

4 authors at 2 institutions in 1 country.

Melvin Qiyu LeeMedicine, Saolta University Health Care Group, Galway, Ireland melvinqlee@rcsi.ie.
Royale ChigozieMedicine, Saolta University Health Care Group, Galway, Ireland.
Irfan KhanMedicine, Roscommon University Hospital, Roscommon, Ireland.
Gerard O'MaraMedicine, Roscommon University Hospital, Roscommon, Ireland.
Roscommon University Hospital · IESaolta University Health Care Group · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 68-year-old patient presented with symptoms of a urinary tract infection. A deterioration in the patient's liver function tests (LFTs) was noted 1 week following completion of a course of amoxicillin-clavunalate. This progressively worsened, reaching its peak by day 30. Our investigations excluded other possible causes for deranged LFTs and there was no improvement of same despite reduced dosing of potentially hepatotoxic medications.A trial of 30 mg/day prednisolone was commenced, resulting in an immediate and progressive improvement in LFTs to baseline over a period of 22 days and an improvement in constitutional symptoms such as tiredness and poor appetite. Drug-induced liver injury (DILI) is one of the common causes of acute hepatitis and a leading cause of acute liver failure in the US and Europe. Patterns of DILI can be generally divided into: (1) hepatocellular injury, (2) cholestatic injury and (3) mixed injury.

Indexed as

Chemical and Drug Induced Liver InjuryPrednisoloneAgedAmoxicillinAmoxicillin-Potassium Clavulanate CombinationEuropeHumansLiverAmoxicillinAmoxicillin-Potassium Clavulanate CombinationPrednisolonedrugs and medicinesliver diseaseunwanted effects / adverse reactions

Identifiers

PMID33795270
PMCPMC8021575
OpenAlexW3144254997

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.