A Rare Case of Tularemia Complicated by Rhabdomyolysis with a Successful Outcome.

Ieva Kubiliute, Birute Zablockiene, Rasute Paulauskiene, Giedrius Navickas, Ligita Jancoriene

Open access · goldAbstract readCase Reports

In one paragraph

Article in Medicina (Kaunas, Lithuania), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it

0cells of the map it votes in

2citing papers in PubMed

0.2field-weighted citation impact, top 52% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

Tularemia treatment: experimental and clinical data.Frontiers in microbiology · 2023
Review
Tularemia Presenting Solely with Cervical Lymphadenopathy and Fever.Diagnostics (Basel, Switzerland) · 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 1 institution in 1 country.

Ieva KubiliuteCenter of Infectious Diseases, Vilnius University Hospital Santaros Klinikos, 08410 Vilnius, Lithuania.ORCID 0000-0002-4220-6053

Birute ZablockieneCenter of Infectious Diseases, Vilnius University Hospital Santaros Klinikos, 08410 Vilnius, Lithuania.

Rasute PaulauskieneCenter of Infectious Diseases, Vilnius University Hospital Santaros Klinikos, 08410 Vilnius, Lithuania.

Giedrius NavickasCenter of Cardiology and Angiology, Cardiac Intensive Care Department, Vilnius University Hospital Santaros Klinikos, 08410 Vilnius, Lithuania.

Ligita JancorieneCenter of Infectious Diseases, Vilnius University Hospital Santaros Klinikos, 08410 Vilnius, Lithuania.ORCID 0000-0001-6488-6312

Vilnius University · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of tularemia complicated by rhabdomyolysis in a 43-year-old male who presented with fever, swelling, and pain of the right groin and a history of a week-old tick bite. Empirical parenteral amoxicillin/clavulanic acid treatment was initiated. Suspecting tularemia, parenteral gentamycin was added. Later, the patient started to complain of muscle pain, weakness, and difficulties in breathing and walking. Heightened levels of creatine kinase and myoglobin concentration (42,670 IU/L and >12,000 μg/L, respectively) were found. Due to rhabdomyolysis, large amounts of intravenous fluid therapy were initiated to prevent kidney damage, continuing intravenous antibiotic therapy.

Indexed as

Francisella tularensisRhabdomyolysisTularemiaAdultAntibodies, BacterialFeverHumansMaleAntibodies, BacterialFrancisella tularensisrhabdomyolysistularemiaulceroglandular tularemia

Identifiers

PMID34062973

DOI10.3390/medicina57050449

PMCPMC8147915

OpenAlexW3159461875

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.