Evidence map›Paper›PMID 34521368›Full record

ArticleBMC infectious diseases2021

A rare case of coexistence of Wegener's granulomatosis and pulmonary tuberculosis with subsequent development of thrombosis of the cerebral veins.

Zohreh Rostami, Luca Cegolon, Nematollah Jonaidi Jafari, Nasrin Gholami, Seyed Vahid Mousavi, Fakhri Allahyari, Atena Azami, Mohammad Javanbakht

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Zohreh RostamiNephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Luca CegolonPublic Health Department, Local Health Unit N. 2 "Marca Trevigiana", Treviso, Italy.
Nematollah Jonaidi JafariHealth Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Nasrin GholamiHematology Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Seyed Vahid MousaviAtherosclerosis Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Fakhri AllahyariNeuroscience Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Atena AzamiDepartment of Pathology, School of Medicine, Alborz University of Medical Sciences, Alborz, Iran.
Mohammad JavanbakhtNephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran. mhmjvbt81@gmail.com.
Baqiyatallah University of Medical Sciences · IRAlborz University of Medical SciencesAzienda ULSS 9 TREVISO · ITTabriz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGranulomatosis with polyangiitis (GPA), also known as Wegener's granulomatosis, is an idiopathic systemic disease typically affecting the lungs, although other organs may also be involved. CASE PRESENTATION: A 28-year-old male was admitted to Baqiyatallah university hospital in Teheran (Iran) after a 3-week history of fever and productive cough. The patient gradually developed fatigue, arthralgia, hematuria, nausea, vomiting, dyspnea, hemoptysis, weight loss, oliguria and then anuria. Chest-X-ray (CXR) and computerized tomography scan revealed cavitating nodular opacities in the right lung lobe. Furthermore, plasma creatinine increased from 2.2 to 4 mg/dl in a few days. Histopathological examination of kidney biopsy revealed peri-glomerular and peri-vascular inflammation, degeneration and necrosis of the tubular epithelial lining, red blood cell casts, distorted glomerular structure, fibrin thrombi, segmental breaks of the glomerular basal membrane, disruption of Bowman's capsular membrane and crescent formation of the affected glomeruli. An abnormal CXR, an abnormal urinary sediment and a typical kidney histology were used as criteria to diagnose glomerulonefritis with poliangiitis (GPA). Bronchoalveolar lavage smear and PCR turned out positive for mycobacterium tuberculosis. After 3 months of treatment for (GPA) and tuberculosis the patient developed headache and seizure. Cerebral Magnetic Resonance Venography revealed cerebral venous thrombosis of the sinus transverse and sigmoid.

conclusionsTuberculosis may coexist with GPA, as it occurred in our patient. Since a crescentic glomerulonephritis can progress to renal failure, clinicians should always be aware of potential multiple conditions when considering differential diagnoses.

Indexed as

Cerebral VeinsGranulomatosis with PolyangiitisThrombosisTuberculosis, PulmonaryAdultHumansKidneyMaleGranulomatosis with polyangiitisSigmoid and transvers sinusThrombosisTuberculosisWegener’s Granulomatosis

Identifiers

PMID34521368
PMCPMC8442395
OpenAlexW3201652323

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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.