Evidence map›Paper›PMID 35145685›Full record

ArticleAnnals of medicine and surgery (2012)2022

A suspected surgical case of acute abdomen: A case report of scrub typhus.

Sunil Basukala, Shriya Sharma, Ayush Tamang, Ujwal Bhusal

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Annals of medicine and surgery (2012), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 1 country.

Sunil BasukalaDepartment of Surgery, Shree Birendra Hospital (SBH), Kathmandu, Nepal.
Shriya SharmaCollege of Medicine, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal.
Ayush TamangCollege of Medicine, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal.
Ujwal BhusalCollege of Medicine, Nepalese Army Institute of Health Sciences (NAIHS), Kathmandu, Nepal.
Nepalese Army Institute of Health Services · NPBir Hospital · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionScrub typhus presents with diverse clinical manifestations which range from sub-clinical disease to organ failure and fatal disease. CASE PRESENTATION: The patient presented with fever followed by acute abdominal pain and later developed septic shock with multi-organ failure. Radiological evaluations were normal, however, on thorough physical examination, an eschar was found in her right inguinal region. CLINICAL DISCUSSION: Aside from classical clinical symptoms, it can also involve various organs, most commonly of respiratory, cardiovascular and hepatic systems. Additionally, suspected patients should be thoroughly examined for the presence of an eschar, especially over the covered areas such as the groin, genitalia, infra-mammary area and axilla.

conclusionScrub typhus should be considered in all patients from an endemic area presenting as acute undifferentiated febrile illness associated with organ involvement. Positive finding of an eschar and high index of suspicion for the various presentations of scrub typhus can avoid unnecessary surgical exploration and aid in prompt diagnosis and treatment.

Indexed as

Abdominal PainFever of Unknown OriginMultiple Organ FailureScrub TyphusSeptic Shock

Identifiers

PMID35145685
PMCPMC8818520
OpenAlexW4210742017

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.