Evidence map›Paper›PMID 36699718›Full record

ArticleFrontiers in cellular and infection microbiology2022

The successful treatment of

Lanlan Zhou, Zebing Guan, Chaolun Chen, Qiuhua Zhu, Shiqiu Qiu, Yanan Liu, Mingjie Li, Wenbin Zeng, Hong Wang, Yanmin Gao and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Emergence of zoonoticFrontiers in microbiology · 2026
    Article
  7. Article
  8. Emerging microbes & infections · 2024
    Review
  9. Review
  10. Fumagillin Shortage: How to TreatTransplant international : official journal of the European Society for Organ Transplantation · 2024
    Observational
  11. Infection ofCase reports in gastroenterology
    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

14 authors at 1 institution in 1 country.

Lanlan ZhouDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Zebing GuanDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Chaolun ChenDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Qiuhua ZhuDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Shiqiu QiuDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Yanan LiuDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Mingjie LiDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Wenbin ZengDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Hong WangDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Yanmin GaoDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Yuemei YuanDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Hanling ZhangDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Guanqiao RuanDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Xueyi PanDepartment of Hematology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
First Affiliated Hospital of Guangdong Pharmaceutical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Case presentation: A 47-year-old male had recurrent, profuse watery diarrhea and abdominal discomfort for more than 7 months, with a fever for 5 days. Two years earlier, he received treatment with a modified BFM-90 protocol for acute B cell lymphoblastic leukemia and is currently in the final stages of maintenance therapy with oral methotrexate and mercaptopurine. The leukemia was assessed as still in remission two months ago. PET/CT showed massive peritoneal fluid accumulation and a high uptake area in the diffused peritoneum (SUVmax 12.57), suggesting tumor invasion or microbial infections. However, broad-spectrum antibacterial therapies were ineffective. Metagenomic sequencing of plasma and peritoneal fluid showed no suggestion of the existence of a tumor but instead showed a high sequence number of DNA and RNA of the Microsporidia. His albendazole treatment failed and subsequent treatment with nitazoxanide successfully resolved the infection. Conclusion: This case shows that we should consider the possibility of atypical pathogen infection in patients with hematologic malignancy who repeatedly develop unexplained diarrhea with wasting. mNGS can help rule out malignant neoplasms and diagnose infections. Our results suggest that nitazoxanide effectively treats

Indexed as

EnterocytozoonMicrosporidiosisNeoplasmsDiarrheaFecesHumansMaleMiddle AgedNitro CompoundsPositron Emission Tomography Computed TomographyThiazolesnitazoxanideNitro CompoundsThiazolescase reportEnterocytozoon bieneusi infectionleukemiametagenomic next-generation sequencingnitazoxanide

Identifiers

PMID36699718
PMCPMC9868268
OpenAlexW4313824851

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.