Evidence map›Paper›PMID 35846515›Full record

ArticleUrology case reports2022

Urgent nephrectomy for rapidly progressive disseminated metastatic Hypermucoid Klebsiella.

Thomas Neerhut, John Ninan, Jack Crozier, Malcolm Lawson, Handoo Rhee

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Urology case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 60% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 2 institutions in 1 country.

Thomas NeerhutPrincess Alexandra Hospital, Brisbane, 199 Ipswich Road, Woolloongabba, 4102, Australia.
John NinanPrincess Alexandra Hospital, Brisbane, 199 Ipswich Road, Woolloongabba, 4102, Australia.
Jack CrozierPrincess Alexandra Hospital, Brisbane, Australia.
Malcolm LawsonPrincess Alexandra Hospital, Brisbane, Australia.
Handoo RheePrincess Alexandra Hospital, Brisbane, Australia.
Princess Alexandra Hospital · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few cases of Hypervirulent Klebsiella Pneumonia (HvKP) have been described. Even fewer cases with renal abscess and metastatic pulmonary spread are reported. Typically, prompt introduction of intravenous antibiotics leads to clinical resolution and more invasive measures of source control are rarely required. To date only one other case of disseminated metastatic HvKP requiring nephrectomy for infective source control is described. Here we present a rare case of metastatic HvKP refractory to intravenous antimicrobial therapy in an immunocompromised newly diagnosed diabetic patient. Specifically, we seek to illustrate the rapid effectiveness of surgical intervention following a poor response to initial treatment.

Indexed as

Chest X-ray, CXRClassic strains of Klebsiella pneumoniae, cKPComputed tomography scan of chest, abdomen and pelvis, CT CAPC reactive protein, CRPHypervirulent klebsiella pneumoniaeHypervirulent Klebsiella Pneumonia, HvKPInfectionIntravenous, IVNephrectomyRenal abscess

Identifiers

PMID35846515
PMCPMC9283878
OpenAlexW4284894026

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.