Evidence map›Paper›PMID 34361913›Full record

ReviewMicroorganisms2021

Common and Rare Hematological Manifestations and Adverse Drug Events during Treatment of Active TB: A State of Art.

Maria Letizia Minardi, Ilenia Fato, Francesco Di Gennaro, Silvia Mosti, Annelisa Mastrobattista, Carlotta Cerva, Raffaella Libertone, Annalisa Saracino, Delia Goletti, Enrico Girardi and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Microorganisms, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Meta-analysis reveals a core iron-responsive gene signature in Mycobacterium tuberculosis linking siderophore biosynthesis, virulence, and metabolic adaptation.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
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  13. Impact of Vitamin D in Prophylaxis and Treatment in Tuberculosis Patients.International journal of molecular sciences · 2022
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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

13 authors at 3 institutions in 1 country.

Maria Letizia MinardiNational Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.
Ilenia FatoNational Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.
Francesco Di GennaroNational Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.ORCID 0000-0003-3453-5647
Silvia MostiNational Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.
Annelisa MastrobattistaNational Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.
Carlotta CervaNational Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.
Raffaella LibertoneNational Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.
Annalisa SaracinoDepartment of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases, University of Bari "Aldo Moro", 70124 Bari, Italy.
Delia GolettiNational Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.ORCID 0000-0001-8360-4376
Enrico GirardiNational Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.ORCID 0000-0001-8182-5896
Massimo AndreoniClinic of Infectious Diseases, Policlinico Tor Vergata, V. Montpelier 1, 00133 Rome, Italy.
Fabrizio PalmieriNational Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.ORCID 0000-0001-8184-6291
Gina GualanoNational Institute for Infectious Diseases "L. Spallanzani" IRCCS, 00149 Rome, Italy.
Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITPoliclinico Tor Vergata · ITUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculosis (TB) can seriously affect the hematopoietic system, with involvement of both myeloid and lymphoid cell lines as well as plasma components. These hematological changes act as a marker for the diagnosis, prognosis and response to therapy.

methodsWe searched PubMed, Scopus, Google Scholar, EMBASE, Cochrane Library and WHO websites from 1950 to May 2021 for papers on the interaction between TB and common and rare hematological manifestation.

resultsHematological reactions in patients with TB are possible in both young and old women and men but seem more frequent in the elderly, and they can be predictors of both diagnosis and worse outcome for TB, regardless of whether it is pulmonary, extra pulmonary or miliary. Even anti-TB therapies can cause hematological adverse events, among which some are serious and rare and can compromise the patient's recovery pathway to completing treatment.

conclusionHematological screening and follow-up, including complete blood count and coagulation, are always necessary both at the diagnosis of TB and during antitubercular treatment in order to monitor hematological parameters. Short therapy regimens for multidrug-resistant TB (MDR-TB) may also be useful for reducing hematological toxicity, especially in contexts where this cannot be monitored. Close monitoring of drug interactions and hematological adverse events is always recommended.

Indexed as

adverse eventsanemiahematopoietic systemrare hematologic disorderstuberculosis

Identifiers

PMID34361913
PMCPMC8304680
OpenAlexW3179178201

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.