Evidence map›Paper›PMID 34488656›Full record

ArticleBMC infectious diseases2021

One severe case of congenital toxoplasmosis in China with good response to azithromycin.

Jiao Li, Jing Zhao, Xiaoyan Yang, Yang Wen, Liang Huang, Dan Ma, Jing Shi

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
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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

7 authors at 2 institutions in 1 country.

Jiao LiDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Jing ZhaoDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Xiaoyan YangDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Yang WenDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Liang HuangDepartment of Pharmacy/Evidence-based Pharmacy Center, West China Second University Hospital of Sichuan University, Chengdu, 610041, Sichuan, China.
Dan MaDepartment of Rehabilitation Medicine, West China Second University Hospital of Sichuan University, Chengdu, 610041, Sichuan, China.
Jing ShiDepartment of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China. shijing@scu.edu.cn.
Sichuan University · CNWest China Second University Hospital of Sichuan University · CN

Funding

science and technology bureau of sichuan province 2021YJ0017special fund for basic scientific research expenses of central universities SCU2020D4132
6 · The paper itself

Abstract

backgroundMost infants infected with Toxoplasma gondii are completely asymptomatic at birth, yet they may develop ocular and neurological sequelae in the first few months of life. Cases of congenital toxoplasmosis with severe jaundice early after birth combined with pancytopenia and splenomegaly are extremely rare. Here, we report on a rare case of congenital toxoplasmosis presenting with severe jaundice and hemolysis early after birth combined with pancytopenia and splenomegaly. CASE PRESENTATION: A male preterm infant with severe jaundice and splenomegaly was admitted to our department. Laboratory examinations revealed severe hyperbilirubinemia, increased reticulocytes, and pancytopenia. After comprehensive analysis and examination, the final diagnosis was congenital toxoplasmosis, and the infant was treated with azithromycin and subsequently trimethoprim-sulfamethoxazole. Regular follow-up revealed congenital toxoplasmosis in both eyes, which was surgically treated, while neurofunctional assessment results were unremarkable. In this case of congenital toxoplasmosis combined with severe jaundice, we treated the infant with two courses of azithromycin, followed by trimethoprim-sulfamethoxazole after the jaundice resolved. Clinical follow-up indicated that this treatment was effective with few side effects; thus, this report may serve as a valuable clinical reference.

conclusionsTimely diagnosis and adequate treatment are closely associated with congenital toxoplasmosis-related prognosis. Infants with congenital toxoplasmosis require long-term follow-up, focusing on nervous system development and ophthalmology.

Indexed as

ToxoplasmaToxoplasmosis, CongenitalAzithromycinHumansInfant, NewbornInfant, PrematureMaleTrimethoprim, Sulfamethoxazole Drug CombinationAzithromycinTrimethoprim, Sulfamethoxazole Drug CombinationCase reportCongenital toxoplasmosisJaundicePancytopeniaSplenomegaly

Identifiers

PMID34488656
PMCPMC8422759
OpenAlexW3197688548

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.