Evidence map›Paper›PMID 34016047›Full record

ArticleBMC infectious diseases2021

A case report of endocarditis and spondylitis caused by Brucella melitensis biovar 3.

Huan Zhang, Songsong Xie, Yueli Wang, Xiaoli Zhao, Jihai Yi, Zhen Wang, Qi Liu, Xiaoyu Deng, Bingjie Li, Buyun Cui and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.6field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Frontiers in immunology · 2026
    Article
  2. Frontiers in cellular and infection microbiology · 2025
    Article
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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

12 authors at 3 institutions in 1 country.

Huan Zhang *School of Animal Science and Technology, Shihezi University, Shihezi City, 832000, Xinjiang, China.
Songsong Xie *NHC Key Laboratory of Prevention and Treatment of Central Asia High Incidence Diseases, Shihezi City, 832000, Xinjiang, China.
Yueli Wang *School of Animal Science and Technology, Shihezi University, Shihezi City, 832000, Xinjiang, China.
Xiaoli ZhaoSchool of Animal Science and Technology, Shihezi University, Shihezi City, 832000, Xinjiang, China.
Jihai YiSchool of Animal Science and Technology, Shihezi University, Shihezi City, 832000, Xinjiang, China.
Zhen WangSchool of Animal Science and Technology, Shihezi University, Shihezi City, 832000, Xinjiang, China.
Qi LiuThe First Affiliated Hospital of Shihezi University, Shihezi City, 832000, Xinjiang, China.
Xiaoyu DengSchool of Animal Science and Technology, Shihezi University, Shihezi City, 832000, Xinjiang, China.
Bingjie LiThe First Affiliated Hospital of Shihezi University, Shihezi City, 832000, Xinjiang, China.
Buyun CuiState Key Laboratory for Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Prevention and Control, Beijing, 100050, China.
Yuanzhi WangSchool of Medicine, Shihezi University, Shihezi City, 832000, Xinjiang, China. wangyuanzhi621@126.com.
Chuangfu ChenSchool of Animal Science and Technology, Shihezi University, Shihezi City, 832000, Xinjiang, China. chuangfu_chen@163.com.
Shihezi University · CNFirst Affiliated Hospital of Shihezi University Medical College · CNNational Institute for Communicable Disease Control and Prevention · CN

Funding

International Scientific and Technological Cooperation in Bingtuan 2016AH001National Key Research & Development Plan 2017AA003National Key Research & Development Plan 2017YFD0500304National Key Research & Development Plan 2018ZX10101002-007National Key Research & Development Plan 32002245National Key Research & Development Plan 37160020National Key Research & Development Plan U1803236Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences 2020-PT330-003State Key Laboratory of Veterinary Etiological Biology SKLVEB2017KEKT009
6 · The paper itself

Abstract

backgroundThis case report describes the clinical process of a shepherd who suffered brucellosis-related endocarditis (BE) and spondylitis (BS) and was infected with Brucella melitensis biovar 3 (B. melitensis biovar 3). CASE PRESENTATION: A 55-year-old male patient was admitted to The First Affiliated Hospital of Shihezi University on October 11, 2018, due to over 3 months of intermittent fever, back pain, and heart trouble. The Rose Bengal Plate test was positive, the standard agglutination test titer for brucellosis was 1/800, and the blood culture was positive for B. melitensis biovar 3. Three instances of transthoracic echocardiography examination at days 1, 25, and 376 after admission to the hospital and magnetic resonance imaging (MRI) and computed tomography (CT) checks at days 5 and 38 revealed that the size of the vegetation on the posterior leaflet of the mitral valve increased from 0.7 × 1.4 cm to 1.2 × 1.5 cm and that the left atrium and ventricle were enlarged. The MRI and CT results showed hyperplasia of the second and third vertebra, a cold abscess formed on both sides of the psoas major muscles, and the vertebra hyperplasia became aggravated at a later time point. The patient's situation deteriorated, and heart failure was discovered on October 22, 2019. At the moment of submission of this manuscript, the patient remains in bed at home because of severe debility caused by brucellosis.

conclusionsThis is the first reported case of endocarditis combined with spondylitis caused by B. melitensis biovar 3 in a shepherd. Brucellosis infection can cause work-power losses because of misdiagnosis or a lack of proper treatment. Early diagnosis and treatment are essential for a successful outcome.

Indexed as

Brucella melitensisAgglutination TestsBrucellosisEndocarditis, BacterialHumansMaleMiddle AgedMitral ValveSpondylitisBrucella melitensis biovar 3EndocarditisShepherdSpondylitis

Identifiers

PMID34016047
PMCPMC8139066
OpenAlexW3163310015

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.