Evidence map›Paper›PMID 36320087›Full record

ArticleJournal of medical case reports2022

Flecainide-induced pneumonitis: a case report.

Gauthier Moureau, Elies Zarrouk, Delphine Hoton, Franck Saint-Marcoux, Lidvine Boland, Vincent Haufroid, Philippe Hantson

Abstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Frontiers in medicine · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. 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

7 authors.

Gauthier MoureauDepartment of Intensive Care, Cliniques St-Luc, Université catholique de Louvain, Avenue Hippocrate, 10, 1200, Brussels, Belgium.
Elies ZarroukService de Pharmacologie, Toxicologie et Pharmacovigilance, CHU de Limoges, 87042, Limoges, France.
Delphine HotonDepartment of Pathology, Cliniques St-Luc, Université catholique de Louvain, 1200, Brussels, Belgium.
Franck Saint-MarcouxService de Pharmacologie, Toxicologie et Pharmacovigilance, CHU de Limoges, 87042, Limoges, France.
Lidvine BolandDepartment of Clinical Chemistry, Cliniques St-Luc, Université catholique de Louvain, 1200, Brussels, Belgium.
Vincent HaufroidDepartment of Clinical Chemistry, Cliniques St-Luc, Université catholique de Louvain, 1200, Brussels, Belgium.
Philippe HantsonDepartment of Intensive Care, Cliniques St-Luc, Université catholique de Louvain, Avenue Hippocrate, 10, 1200, Brussels, Belgium. philippe.hantson@uclouvain.be.ORCID http://orcid.org/0000-0003-4409-3352

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe report a case of acute respiratory distress associated with a histological pattern of acute fibrinous and organizing pneumonia, and discuss the possible responsibility of flecainide therapy. CASE PRESENTATION: A 61-year-old African woman developed a rapidly progressive dyspnea and required admission in the intensive care unit for orotracheal intubation and mechanical ventilation. Chest X-ray examination revealed bilateral infiltrates predominating in the basal part of both lungs. Lung computed tomography disclosed bilateral ground-glass opacities and septal thickening. After exclusion of the most common causes of infectious or immune pneumonia, a toxic origin was investigated and flecainide toxicity was considered. Lung biopsy was consistent with the unusual pattern of acute fibrinous and organizing pneumonia. Clinical and radiological improvement was noted after corticosteroid therapy, but the patient died from septic complications.

conclusionFlecainide-induced lung injury has rarely been reported in the literature and remains a diagnosis of exclusion. The histological pattern of acute fibrinous and organizing pneumonia has been previously observed with amiodarone. There are no firm guidelines for the treatment of acute fibrinous and organizing pneumonia, but some patients may positively respond to corticosteroids.

Indexed as

Cryptogenic Organizing PneumoniaPneumoniaBiopsyDyspneaFemaleFlecainideHumansLungMiddle AgedFlecainideAcute fibrinous and organizing pneumoniaCorticosteroidsFlecainidePneumonitis

Identifiers

PMID36320087
PMCPMC9628042

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Registered trials

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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.