Evidence map›Paper›PMID 34903272›Full record

ArticleJournal of medical case reports2021

Case series: coronavirus disease 2019 infection as a precipitant of atypical hemolytic uremic syndrome: two case reports.

Christine J Kurian, Zachary French, Patrick Kukulich, Matthew Lankiewicz, Sushil Ghimire, Omar H Maarouf, Sanaa Rizk, Ruben Rhoades

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 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
0.7field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Christine J KurianDepartment of Medicine, Thomas Jefferson University, Philadelphia, PA, USA. xtine.kurian@gmail.com.ORCID http://orcid.org/0000-0002-8295-6414
Zachary FrenchDepartment of Medicine, Thomas Jefferson University, Philadelphia, PA, USA.
Patrick KukulichDepartment of Medicine, Thomas Jefferson University, Philadelphia, PA, USA.
Matthew LankiewiczSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Sushil GhimireDepartment of Medical Oncology, Thomas Jefferson University, Philadelphia, PA, USA.
Omar H MaaroufDepartment of Medicine, Division of Nephrology, Thomas Jefferson University, Philadelphia, PA, USA.
Sanaa RizkDepartment of Medicine, Division of Hematology, Thomas Jefferson University, Philadelphia, PA, USA.
Ruben RhoadesDepartment of Medicine, Division of Hematology, Thomas Jefferson University, Philadelphia, PA, USA.
Thomas Jefferson University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtypical hemolytic uremic syndrome is an exceedingly rare thrombotic microangiopathy caused by accelerated activation of the alternative complement pathway. CASE PRESENTATION: Here, we report two cases of patients presenting with suspected atypical hemolytic uremic syndrome precipitated by coronavirus disease 2019 infection. The first patient, a 25-year-old Hispanic male, had one prior episode of thrombotic microangiopathy presumed to be atypical hemolytic uremic syndrome precipitated by influenza A, and re-presented with thrombocytopenia, microangiopathic hemolytic anemia, nonoliguric renal failure, and normal ADAMTS13 activity, with confirmed coronavirus disease 2019 positivity. The second patient, a 31-year-old Caucasian female, had no personal history of thrombotic microangiopathy, though reported a family history of suspected atypical hemolytic uremic syndrome. She presented with similar laboratory derangements, oliguric renal failure requiring hemodialysis, and confirmed coronavirus disease 2019 positivity. Both patients were treated with eculizumab with complete resolution of their hematologic and renal complications.

conclusionTo our knowledge, this represents the largest case series of atypical hemolytic uremic syndrome precipitated by coronavirus disease 2019 in adults.

Indexed as

Atypical Hemolytic Uremic SyndromeCOVID-19Purpura, Thrombotic ThrombocytopenicThrombotic MicroangiopathiesAdultFemaleHumansMaleSARS-CoV-2Atypical hemolytic uremic syndromeCOVID-19Nonimmune hemolytic anemiaSARS-CoV-2Thrombotic microangiopathy

Identifiers

PMID34903272
PMCPMC8667015
OpenAlexW4200556622

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.