Evidence map›Paper›PMID 35878135›Full record

ArticleTropical medicine and infectious disease2022

Post-Mortem Diagnosis of Pediatric Dengue Using Minimally Invasive Autopsy during the COVID-19 Pandemic in Brazil.

Deborah N Melo, Giovanna R P Lima, Carolina G Fernandes, André C Teixeira, Joel B Filho, Fernanda M C Araújo, Lia C Araújo, André M Siqueira, Luís A B G Farias, Renata A A Monteiro and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Tropical medicine and infectious disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. 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

14 authors at 5 institutions in 2 countries.

Deborah N MeloServiço de Verificação de Óbitos Dr Rocha Furtado, Fortaleza 60842-395, Brazil.
Giovanna R P LimaFaculdade de Medicina, Centro Universitário Christus, Fortaleza 60190-180, Brazil.ORCID 0000-0001-6462-6318
Carolina G FernandesFaculdade de Medicina, Centro Universitário Christus, Fortaleza 60190-180, Brazil.
André C TeixeiraServiço de Verificação de Óbitos Dr Rocha Furtado, Fortaleza 60842-395, Brazil.
Joel B FilhoServiço de Verificação de Óbitos Dr Rocha Furtado, Fortaleza 60842-395, Brazil.
Fernanda M C AraújoFundação Oswaldo Cruz, Eusebio 61760-000, Brazil.ORCID 0000-0002-2202-9109
Lia C AraújoPrograma de Residencia Medica em Patologia pela Universidade Federal do Ceará, 60, Fortaleza 60020-181, Brazil.
André M SiqueiraFundação Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil.
Luís A B G FariasHospital São José de Doenças Infecciosas, Fortaleza 60455-610, Brazil.
Renata A A MonteiroDepartamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo 01246-903, Brazil.
Jaume OrdiISGlobal, Barcelona Institute for Global Health, Hospital Clínic, Universitat de Barcelona, 08036 Barcelona, Spain.ORCID 0000-0002-4820-7954
Miguel J MartinezISGlobal, Hospital Clínic, University of Barcelona, 08007 Barcelona, Spain.ORCID 0000-0002-0682-1075
Paulo H N SaldivaDepartamento de Patologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo 01246-903, Brazil.
Luciano P G CavalcantiPrograma de Pós-graduação em Patologia, Universidade Federal do Ceará, Fortaleza 60020-181, Brazil.
Unichristus · BRUniversidade Federal do Ceará · BRBarcelona Institute for Global Health · ESFundação Oswaldo Cruz · BRUniversidade de São Paulo · BR

Funding

SVS/MS 2
6 · The paper itself

Abstract

We report the first pediatric disease in which the use of minimally invasive autopsy (MIA) confirmed severe dengue as the cause of death. During the COVID-19 pandemic, a previously healthy 10-year-old girl living in north-eastern Brazil presented fever, headache, diffuse abdominal pain, diarrhoea, and vomiting. On the fourth day, the clinical symptoms worsened and the patient died. An MIA was performed, and cores of brain, lungs, heart, liver, kidneys, and spleen were collected with 14G biopsy needles. Microscopic examination showed diffuse oedema and congestion, pulmonary intra-alveolar haemorrhage, small foci of midzonal necrosis in the liver, and tubular cell necrosis in the kidneys. Dengue virus RNA and NS1 antigen were detected in blood and cerebrospinal fluid samples. Clinical, pathological, and laboratory findings, in combination with the absence of other lesions and microorganisms, allowed concluding that the patient had died from complications of severe dengue.

Indexed as

arbovirusautopsyCOVID-19minimally invasive autopsysevere dengue

Identifiers

PMID35878135
PMCPMC9316822
OpenAlexW4283734430

What OpenQuestion holds

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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.