Evidence map›Paper›PMID 34248117›Full record

ArticleInternal medicine (Tokyo, Japan)2022

Immune Reconstitution Inflammatory Syndrome Associated with Pneumocystis jirovecii Pneumonia and Cytomegalovirus Colitis in a Patient with Rheumatoid Arthritis.

Natsuki Shima, Ayako Kokuzawa, Keisuke Saito, Yasuyuki Kamata, Takao Nagashima, Kojiro Sato

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 36% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

6 authors at 1 institution in 1 country.

Natsuki ShimaDivision of Rheumatology and Clinical Immunology, Department of Medicine, Jichi Medical University, Japan.
Ayako KokuzawaDivision of Rheumatology and Clinical Immunology, Department of Medicine, Jichi Medical University, Japan.
Keisuke SaitoDivision of Rheumatology and Clinical Immunology, Department of Medicine, Jichi Medical University, Japan.
Yasuyuki KamataDivision of Rheumatology and Clinical Immunology, Department of Medicine, Jichi Medical University, Japan.
Takao NagashimaDivision of Rheumatology and Clinical Immunology, Department of Medicine, Jichi Medical University, Japan.
Kojiro SatoDivision of Rheumatology and Clinical Immunology, Department of Medicine, Jichi Medical University, Japan.
Jichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 68-year-old woman presenting with rheumatoid arthritis was admitted due to pancytopenia caused by methotrexate. Pneumocystis jirovecii pneumonia was diagnosed based on the abnormal shadows observed on chest computed tomography, the presence of serum β-D-glucan, and positive P. jirovecii-DNA results in a sputum analysis. Subsequently, after treatment with leucovorin and trimethoprim-sulfamethoxazole, lung consolidation was found to be aggravated, along with a rapidly increasing leukocyte count. In addition, cytomegalovirus colitis was diagnosed. Both conditions were associated with immune reconstitution inflammatory syndrome caused by recovery from leukopenia. The patient was successfully treated with intravenous methylprednisolone pulse therapy and ganciclovir.

Indexed as

Arthritis, RheumatoidColitisImmune Reconstitution Inflammatory SyndromePneumocystis cariniiPneumonia, PneumocystisAgedCytomegalovirusFemaleHumansdisease-modifying anti-rheumatic drugsleukopeniamethotrexatemyelosuppressionpancytopenia

Identifiers

PMID34248117
PMCPMC8851172
OpenAlexW3182743192

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.