Evidence map›Paper›PMID 34367456›Full record

ArticleThe Pan African medical journal2021

Concomitant Mediterranean spotted fever and systemic lupus erythematosus: a rare case report.

Nada Belhajsalah, Marwa Ben Brahim, Syrine Daada, Hajer Ben Brahim, Sonia Hammemi

Open access · goldAbstract readCase Reports
In one paragraph

Article in The Pan African medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 1 country.

Nada BelhajsalahDepartment of Infectious Disease, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Marwa Ben BrahimDepartment of Internal Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Syrine DaadaDepartment of Internal Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Hajer Ben BrahimDepartment of Infectious Disease, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Sonia HammemiDepartment of Internal Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
University of Monastir · TNHospital Fatuma Bourguiba Monastir · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infections are an important cause of morbidity and mortality in Systemic Lupus Erythematosus (SLE). Mediterranean spotted fever (MSF) is a tick-borne disease caused by Rickettsia conorii. This infection is endemic in Tunisia with summer seasonality. Herein, the case of a 45 years old woman, admitted to hospital with fever and erythema nodosum. On examination, she had a diffuse skin rash, malar rash, and polyarthritis. Serology demonstrated Rickettsia Conoriiinfection. The diagnosis of MSF was made and the patient had a course of doxycycline for 5 days with a prompt improvement of the fever, the skin lesions but she had a persistent malar rash, polyarthritis, and lymphopenia. The immunological profile was positive for antinuclear antibodies (ANA), anti-DNA antibodies, anti-nucleosomes antibodies, and anti-citrullinated protein antibodies (ACPA). The diagnosis of SLE was established. We report the first case of SLE associated with MSF and with erythema nodosum as the initial presentation.

Indexed as

Boutonneuse FeverDoxycyclineFemaleHumansLupus Erythematosus, SystemicMiddle AgedRickettsia conoriiDoxycyclinecase reporterythema nodosumMediterranean spotted feversystemic lupus erythematosus

Identifiers

PMID34367456
PMCPMC8308997
OpenAlexW3154931026

What OpenQuestion holds

Textmetadata
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.