Evidence map›Paper›PMID 35312893›Full record

ArticleSurgical case reports2022

Clostridium perfringens sepsis after pancreatoduodenectomy: a case report.

Goro Takahashi, Yoshiharu Nakamura, Tomohiro Hayakawa, Takashi Ono, Kazuhiko Endo, Hiroshi Yoshida

Open access · goldAbstract read
In one paragraph

Article in Surgical case reports, 2022. 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
0.9field-weighted citation impact, top 28% 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, 4 citations in OpenAlex.

  1. Article
  2. Review of advances in molecular structure and biological function ofCanadian journal of veterinary research = Revue canadienne de recherche veterinaire · 2024
    Review
  3. Article
  4. Article
  5. Infection and drug resistance · 2023
    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

6 authors at 2 institutions in 1 country.

Goro TakahashiDepartment of Surgery, Kamisu Saiseikai Hospital, 7-2-45 Shittechuo, Kamisu, Ibaraki, 314-0112, Japan. s9057@nms.ac.jp.ORCID http://orcid.org/0000-0002-8561-8349
Yoshiharu NakamuraDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Tokyo, Japan.
Tomohiro HayakawaDepartment of Surgery, Kamisu Saiseikai Hospital, 7-2-45 Shittechuo, Kamisu, Ibaraki, 314-0112, Japan.
Takashi OnoDepartment of Surgery, Kamisu Saiseikai Hospital, 7-2-45 Shittechuo, Kamisu, Ibaraki, 314-0112, Japan.
Kazuhiko EndoDepartment of Surgery, Kamisu Saiseikai Hospital, 7-2-45 Shittechuo, Kamisu, Ibaraki, 314-0112, Japan.
Hiroshi YoshidaDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Tokyo, Japan.
Saiseikai Ibaraki Hospital · JPNippon Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClostridium perfringens sepsis associated with massive intravascular hemolysis has an extremely poor prognosis. We here report a case of C. perfringens sepsis associated with massive intravascular hemolysis that developed secondary to a post-pancreaticoduodenectomy (PD) hepatic abscess. CASE PRESENTATION: A 70-year-old man with Type 2 diabetes underwent PD for an ampulla of Vater carcinoma. His postoperative course was uneventful. He was discharged on the 16th post-operative day (POD 16) after confirming no major abnormalities on abdominal contrast computed tomography (CT) on POD 14 or laboratory results on POD 16. Two days after discharge, he was readmitted because of fever and chills. Laboratory tests showed only a mild inflammatory reaction (white blood cell count, 11,980/mm

conclusionsClostridium perfringens infection should be considered in patients who have undergone PD and present with gas-forming hepatic abscesses and/or sepsis associated with intravascular hemolysis. Prompt aggressive treatment is crucial, because C. perfringens infections can cause death within hours.

Indexed as

Clostridium perfringensHepatic abscessIntravascular hemolysisPancreatoduodenectomySepsis

Identifiers

PMID35312893
PMCPMC8938579
OpenAlexW4221010462

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.