Evidence map›Paper›PMID 34336315›Full record

ArticleCase reports in infectious diseases2021

Haemophagocytic Lymphohistiocytosis with Leptospirosis: A Rare but Devastating Complication.

B M Munasinghe, A G Arambepola, N Pathirage, U P M Fernando, N Subramaniam, S Nimalan, T Gajanthan

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in 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
0.1field-weighted citation impact, top 53% 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, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Zoonotic Bacterial Infections Triggering Cytokine Storm Syndrome.Advances in experimental medicine and biology · 2024
    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

7 authors at 1 institution in 1 country.

B M MunasingheDepartment of Anaesthesia and Intensive Care, District General Hospital, Mannar, Sri Lanka.ORCID https://orcid.org/0000-0001-8373-4752
A G ArambepolaDepartment of Anaesthesia and Intensive Care, District General Hospital, Mannar, Sri Lanka.
N PathirageDepartment of Anaesthesia and Intensive Care, District General Hospital, Mannar, Sri Lanka.ORCID https://orcid.org/0000-0002-5325-6160
U P M FernandoNational Blood Transfusion Service, Colombo, Sri Lanka.ORCID https://orcid.org/0000-0001-5783-1022
N SubramaniamDepartment of Anaesthesia and Intensive Care, District General Hospital, Mannar, Sri Lanka.ORCID https://orcid.org/0000-0003-4406-5896
S NimalanDepartment of Anaesthesia and Intensive Care, District General Hospital, Mannar, Sri Lanka.ORCID https://orcid.org/0000-0003-1150-9470
T GajanthanDepartment of Medicine, District General Hospital, Mannar, Sri Lanka.
Mannar Hospital · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSecondary haemophagocytic lymphohistiocytosis (sHLH), often associated with an array of infections, malignancies, and autoimmune diseases, is rarely seen with leptospirosis, which carries a relatively poor prognosis even with modern state-of-the-art medical care. We describe a patient with leptospirosis complicated by sHLH who succumbed to illness following multiorgan dysfunction.

conclusionLeptospirosis is a common zoonotic disease in the tropics with significant morbidity and mortality. In the case of severe leptospirosis, overlapping clinical features with sHLH make the diagnosis of the latter challenging. No assessment tools are available to date to predict the risk of developing sHLH in a patient having leptospirosis. Outcome following sHLH due to leptospirosis still remains majorly ominous. A high index of suspicion and low threshold for specific investigations could possibly alter the outcome following such an occurrence.

Identifiers

PMID34336315
PMCPMC8295509
OpenAlexW3182538264

What OpenQuestion holds

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LicenceCC BY
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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.