Evidence map›Paper›PMID 34803350›Full record

ArticleInfectious diseases in clinical practice (Baltimore, Md.)2021

Multisystem Inflammatory Syndrome in an Adult With COVID-19-A Trial of Anakinra: A Case Report.

Abhimanyu Aggarwal, Ezra Cohen, Marisol Figueira, Vishakha Sabharwal, Julie M Herlihy, Carroll Bronwen, Elizabeth D Barnett, Stephen I Pelton, Ingrid Y Camelo

Open access · greenAbstract readCase Reports
In one paragraph

Article in Infectious diseases in clinical practice (Baltimore, Md.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Innate and adaptive immunity in acute myocarditis.International journal of cardiology · 2024
    Review
  5. Review
  6. Review
  7. Arrhythmia and COVID-19 in children.Clinical and experimental pediatrics · 2023
    Article
  8. Article
  9. 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

9 authors at 3 institutions in 1 country.

Abhimanyu AggarwalDepartment of Infectious Diseases, University of Massachusetts School of Medicine-Baystate Medical Center, Springfield, MA.
Ezra CohenDepartment of Pediatrics, Division of Hospital Medicine.
Marisol FigueiraDepartment of Pediatric Infectious Diseases.
Vishakha SabharwalDepartment of Pediatric Infectious Diseases.
Julie M HerlihyDepartment of Pediatrics, Division of Hospital Medicine.
Carroll BronwenDivision of Pediatric Emergency Medicine, Boston University School of Medicine, Boston Medical Center, Boston, MA.
Elizabeth D BarnettDepartment of Pediatric Infectious Diseases.
Stephen I PeltonDepartment of Pediatric Infectious Diseases.
Ingrid Y CameloDepartment of Pediatric Infectious Diseases, University of Massachusetts School of Medicine-Baystate Medical Center, Springfield, MA.
Baystate Medical Center · USBoston Medical Center · USBoston University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 disease has been a pandemic caused by a β-coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A life-threatening multisystem inflammatory syndrome (MIS), secondary to SARS-CoV-2 virus infection, sharing common features with Kawasaki disease shock syndrome, staphylococcal/streptococcal shock syndrome, and macrophage activation syndrome in pediatric patients has been described. A total of 27 cases in adults (MIS-A) with a similar presentation have been reported so far. Here we describe the case of a 21-year-old man admitted with abdominal pain, diarrhea, tachycardia, and low blood pressure. He had elevated troponin, ferritin, and interleukin-2 receptor levels and had evidence of myocarditis. He tested positive for SARS-CoV-2 IgG antibody, and a diagnosis of MIS-A was made. Our case adds to the scant literature on this topic, and to our knowledge, it is the first case where anakinra was administered. He recovered well. MIS-A should be considered when young adults present with multiorgan dysfunction.

Indexed as

multisystem inflammatory syndromemyocarditisSARS-CoV-2

Identifiers

PMID34803350
PMCPMC8594393
OpenAlexW3158844958

What OpenQuestion holds

Textmetadata
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.