Evidence map›Paper›PMID 34183316›Full record

ArticleBMJ case reports2021

Intravenous immunoglobulin as a therapeutic option for patients with worsening COVID-19 under rituximab.

Joana Vasconcelos, Rita Portugal, Rita Torres, Sandra Falcão

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 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 47% 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, 5 citations in OpenAlex.

  1. Article
  2. 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

4 authors at 3 institutions in 1 country.

Joana VasconcelosInfectious Diseases, Centro Hospitalar de Lisboa Ocidental EPE Hospital de Egas Moniz, Lisboa, Portugal joanapfvasconcelos@hotmail.com.
Rita PortugalInternal Medicine, Centro Hospitalar do Médio Tejo EPE, Torres Novas, Portugal.ORCID http://orcid.org/0000-0002-5092-0177
Rita TorresRheumatology, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal.
Sandra FalcãoRheumatology, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal.
Centro Hospitalar de Lisboa Ocidental · PTCentro Hospitalar do Porto · PTHospital de Egas Moniz · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe cases of the new COVID-19 are being reported in immunosuppressed patients. The risk seems to depend on the type of immunosuppressive agents used and it is particularly important in patients under the long-lasting effect of rituximab. Information regarding the best therapeutic approach to these patients is scarce and further studies are needed. We present a case of a young woman with rheumatoid arthritis treated with rituximab (last administration 4 months before her admission). She presented with a deteriorating and prolonged SARS-CoV-2 infection, with persistent fever, significant elevation of inflammatory markers and radiological progression. Glucocorticoids and antibiotic therapy were initiated, with no response. Intravenous immunoglobulin was then used with a rapid and exuberant response, anticipating a promising role of this therapy in immunosuppressed patients with COVID-19 under the effect of rituximab.

Indexed as

COVID-19Immunoglobulins, IntravenousFemaleHumansImmunosuppressive AgentsRituximabSARS-CoV-2Immunoglobulins, IntravenousImmunosuppressive AgentsRituximabbiological agentsCOVID-19rheumatoid arthritis

Identifiers

PMID34183316
PMCPMC8240564
OpenAlexW3176662307

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.