Evidence map›Paper›PMID 34903283›Full record

ArticleJournal of medical case reports2021

Severe leptospirosis complicated with multiorgan dysfunction successfully managed with plasma exchange: a case report.

Manana Dewage Sankani Vishvara Kularathna, Senanayake Abeysinghe Mudiyanselage Kularatne, Manoji Pathirage, Pala Thanthirige Madhushi Anuradha Nanayakkara

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
1.6field-weighted citation impact, top 19% 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, 9 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

4 authors at 1 institution in 1 country.

Manana Dewage Sankani Vishvara KularathnaTeaching Hospital Peradeniya, Peradeniya, Sri Lanka. vishvarakularathna@gmail.com.
Senanayake Abeysinghe Mudiyanselage KularatneTeaching Hospital Peradeniya, Peradeniya, Sri Lanka.
Manoji PathirageTeaching Hospital Peradeniya, Peradeniya, Sri Lanka.
Pala Thanthirige Madhushi Anuradha NanayakkaraTeaching Hospital Peradeniya, Peradeniya, Sri Lanka.
University of Peradeniya · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeptospirosis is a common zoonotic infection caused by the spirochete Leptospira. The disease is more prevalent in the tropics, causing subclinical to severe illness leading to high morbidity and mortality. CASE PRESENTATION: A 77-year-old healthy Sri Lankan man presented to the Teaching Hospital Peradeniya with severe leptospirosis complicated with acute kidney injury, pulmonary hemorrhages, myocarditis, and severe thrombocytopenia. He was deteriorating despite treatment with intravenous antibiotics and methylprednisolone boluses. He made a dramatic improvement with two cycles of plasma exchange.

conclusionTherapeutic plasma exchange is a life-saving treatment modality in severe leptospirosis with multiorgan failure.

Indexed as

LeptospirosisMyocarditisAgedAnimalsHumansMaleMethylprednisolonePlasma ExchangeZoonosesMethylprednisoloneLeptospirosisMultiple organ failureMyocarditisPlasma exchangePulmonary hemorrhagesZoonotic infection

Identifiers

PMID34903283
PMCPMC8667368
OpenAlexW4200403364

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.