Evidence map›Paper›PMID 36452357›Full record

ArticleFrontiers in pediatrics2022

Case report: Disseminated histoplasmosis in a renal transplant recipient from a non-endemic region.

Brian Chang, Tawny Saleh, Cameron Wales, Lawrence Kuklinski, Prerana Malla, Shangxin Yang, David Fuller, Karin Nielsen-Saines

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in pediatrics, 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
0.6field-weighted citation impact, top 32% 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, 6 citations in OpenAlex.

  1. Diagnosis of histoplasmosis by next-generation sequencing of microbial cell-free DNA in Texas.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026
    Article
  2. Article
  3. Histoplasmosis.Infectious disease clinics of North America · 2025
    Review
  4. Review
  5. Pulmonary Histoplasmosis: A Clinical Update.Journal of fungi (Basel, Switzerland) · 2023
    Review
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

8 authors at 2 institutions in 1 country.

Brian ChangDepartment of Pediatrics, UCLA Mattel Children's Hospital, Los Angeles, CA, United States.
Tawny SalehDepartment of Pediatrics, Pediatric Infectious Disease Division, UCLA Mattel Children's Hospital, Los Angeles, CA, United States.
Cameron WalesUCLA Pathology and Laboratory Medicine, Ronald Reagan UCLA Medical Center, Los Angeles, CA, United States.
Lawrence KuklinskiUCLA Pathology and Laboratory Medicine, Ronald Reagan UCLA Medical Center, Los Angeles, CA, United States.
Prerana MallaDepartment of Pediatrics, UCLA Mattel Children's Hospital, Los Angeles, CA, United States.
Shangxin YangUCLA Pathology and Laboratory Medicine, Ronald Reagan UCLA Medical Center, Los Angeles, CA, United States.
David FullerDepartment of Medicine, Infectious Diseases Division, Ronald Reagan UCLA Medical Center, Los Angeles, CA, United States.
Karin Nielsen-SainesDepartment of Pediatrics, Pediatric Infectious Disease Division, UCLA Mattel Children's Hospital, Los Angeles, CA, United States.
Mattel Children's Hospital · USRonald Reagan UCLA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Histoplasmosis is the most common endemic fungal infection in the USA. The majority of cases are asymptomatic and have clear exposure to endemic regions. In contrast, we present an adolescent immunocompromised patient with systemic and relatively non-specific symptoms including abdominal pain, weight loss, lower extremity edema, and scabbing skin lesions, without known exposure to endemic areas for histoplasmosis. Histologic analysis of gastrointestinal and skin biopsies eventually revealed a diagnosis of disseminated histoplasmosis; the patient was successfully treated with amphotericin B followed by itraconazole maintenance therapy. Ultimately, a high bar of suspicion for fungal disease must be maintained in immunosuppressed individuals even without apparent exposure history to endemic areas. This case report serves as a valuable reference for practitioners evaluating differential diagnosis of infections in immunocompromised patients.

Indexed as

disseminated histoplasmosisimmunosuppressionpathologypediatricrenal transplant

Identifiers

PMID36452357
PMCPMC9701819
OpenAlexW4309042805

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.