Evidence map›Paper›PMID 36527007›Full record

ArticleBMC infectious diseases2022

Tender cervical lymphadenitis as a herald of multi-system inflammatory syndrome in COVID-19 infection of children and adolescents: a report of two cases.

Leonard Wanninayake, Gayathree de Abrew, Dinusha Logeshwaran, Chathurika Weerasinghe, Piyumi Gowinna, Sachith Mettananda, Ranjan Premaratna

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 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 42% 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, 1 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

7 authors at 2 institutions in 1 country.

Leonard WanninayakeUniversity Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
Gayathree de AbrewUniversity Paediatric Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
Dinusha LogeshwaranUniversity Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
Chathurika WeerasingheUniversity Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
Piyumi GowinnaUniversity Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
Sachith MettanandaUniversity Paediatric Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
Ranjan PremaratnaUniversity Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka. ranjanp64@kln.ac.lk.ORCID http://orcid.org/0000-0002-6588-9467
Colombo North Teaching Hospital · LKUniversity of Kelaniya · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-COVID-19 multisystem inflammatory syndrome (MIS) has been increasingly recognized but fever with isolated tender cervical lymphadenitis as the initial presentation has been rarely reported. We present 2 female patients one a child and the other an adolescent. CASE PRESENTATION: Case 1 was a 13-year-old girl who presented with tender cervical lymphadenopathy and fever 3-weeks post-COVID-19, and then developed features of MIS 5 days later. Case 2, also female, was 18 years old. She had no history of COVID-19 infection or immunization but had a serologic diagnosis of COVID-19. She similarly presented with fever and tender cervical lymphadenopathy, and then progressed rapidly to develop features of MIS. Both patients responded well to treatment with immunosuppressants and intravenous immunoglobulin.

conclusionTender cervical lymphadenopathy could be the herald of multi-system inflammatory syndrome following COVID-19 infection among children and adolescents, which the clinicians must have a good suspicion about.

Indexed as

COVID-19LymphadenitisLymphadenopathyAdolescentChildFemaleFeverHumansSyndromeSystemic Inflammatory Response SyndromeCase reportCervical lymphadenitisCOVID 19Multisystem inflammatory syndrome

Identifiers

PMID36527007
PMCPMC9756495
OpenAlexW4312066275

What OpenQuestion holds

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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.