Evidence map›Paper›PMID 34266818›Full record

ArticleBMJ case reports2021

Successful mepolizumab treatment for DRESS-induced refractory eosinophilic myocarditis and concurrent thyroiditis.

Kelvin Truong, Shane Kelly, Angela Bayly, Annika Smith

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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

Kelvin TruongDepartment of Dermatology, Westmead Hospital, Westmead, New South Wales, Australia kelvintruong1318@gmail.com.ORCID http://orcid.org/0000-0002-9596-4499
Shane KellyDepartment of Clinical Immunology, Blacktown Hospital, Blacktown, New South Wales, Australia.
Angela BaylyDepartment of Tissue Pathology and Diagnostic Oncology, Westmead Hospital, Westmead, New South Wales, Australia.
Annika SmithDepartment of Dermatology, Westmead Hospital, Westmead, New South Wales, Australia.
The University of Sydney · AUBlacktown & Mount Druitt Hospital · AUWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug reaction with eosinophilia and systemic symptoms (DRESS) is a potentially life-threatening adverse drug reaction with a mortality rate of 10%. Interstitial nephritis, pneumonitis, myocarditis, meningitis, thyroiditis and pancreatitis are major causes of morbidity and mortality in this syndrome. Cessation of offending medication is paramount. There is paucity in high quality prospective studies guiding the treatment of DRESS, and there are no published therapeutic clinical trials in the treatment of corticosteroid refractory hypersensitivity myocarditis. The authors present a unique case of ciprofloxacin-induced DRESS with concurrent thyroiditis and refractory eosinophilic myocarditis that required mepolizumab and multiple immunosuppressants for successful treatment.

Indexed as

Drug Hypersensitivity SyndromeMyocarditisThyroiditisAntibodies, Monoclonal, HumanizedHumansProspective StudiesAntibodies, Monoclonal, Humanizedmepolizumabdermatologyimmunologyskinthyroiditisunwanted effects / adverse reactions

Identifiers

PMID34266818
PMCPMC8286746
OpenAlexW3179702657

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.