Evidence map›Paper›PMID 34092232›Full record

ArticleBMC infectious diseases2021

Legionnaires' disease arising with hirsutism: case report of an extremely confusing event.

Gabriella Serio, Francesco Fortarezza, Federica Pezzuto, Luigi Santacroce, Pietro Nazzaro, Emilio Bellitti, Domenica Cavone, Andrea Marzullo, Luigi Vimercati

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 32% 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.

  1. Article
  2. Article
  3. Review
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

9 authors at 2 institutions in 1 country.

Gabriella SerioDepartment of Emergency and Organ Transplantation, Pathology Division, University of Bari, Bari, Italy.
Francesco FortarezzaDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, Pathology Unit, University of Padova, Gabelli St. 61, 35121, Padova, Italy. francescofortarezza.md@gmail.com.ORCID http://orcid.org/0000-0002-8954-5888
Federica PezzutoDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, Pathology Unit, University of Padova, Gabelli St. 61, 35121, Padova, Italy.
Luigi SantacroceDepartment Ionian (DJSGEM), Microbiology and Virology Laboratory, University of Bari, Bari, Italy.
Pietro NazzaroDepartment of Medical Basic Sciences, Neurosciences and Sense Organs, University of Bari, Bari, Italy.
Emilio BellittiDepartment of Emergency and Organ Transplantation, Pathology Division, University of Bari, Bari, Italy.
Domenica CavoneDepartment of Interdisciplinary Medicine, Occupational Health Division, University of Bari, Bari, Italy.
Andrea MarzulloDepartment of Emergency and Organ Transplantation, Pathology Division, University of Bari, Bari, Italy.
Luigi VimercatiDepartment of Interdisciplinary Medicine, Occupational Health Division, University of Bari, Bari, Italy.
University of Bari Aldo Moro · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLegionella bacteria is a common cause of pneumonia, but the infection may affect several organs in the most serious cases. A systemic involvement ab initio could be non-specific, leading to a diagnostic misinterpretation. CASE PRESENTATION: A 33-year-old woman had been complaining of mental confusion, restlessness, aggressiveness, and, subsequently, hirsutism. After 3 weeks, the patient developed pneumonia and died during the hospitalization. The autopsy examination revealed a multi-organ necrotizing exudative disease involving the lung, the heart and the brain. The microbiological tests of tracheal aspirate were positive for Legionella pneumophila serotype 1.

conclusionThe Legionella infection may show a proteiform clinical course and an extra-pulmonary manifestation may be the first sign of the disease. Herein, we report a case of Legionella infection in a young female, presenting with non-specific neurological symptoms and hirsutism at onset, misdiagnosed as a metabolic disease.

Indexed as

Legionella pneumophilaAdultAutopsyBrainDiagnostic ErrorsFatal OutcomeFemaleHirsutismHumansLegionnaires' DiseaseLungMental DisordersPneumonia, BacterialAutopsy pathologyCase reportHirsutismLegionella pneumophilaSepsis

Identifiers

PMID34092232
PMCPMC8183093
OpenAlexW3168297967

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.