Evidence map›Paper›PMID 36949469›Full record

ArticleBMC neurology2023

Immune-mediated necrotizing myopathy (NAM) related to SARS-Cov-2 infection: a case report.

Azliza Ibrahim, Wan Syamimee Wan Ghazali, Anna Misyail, Liyana Najwa, Abdul Hanif Khan, Wan Muhamad Amir, Alvin Oliver Payus, Loh Wei Chao, Janudin Baharin, Nor Shuhaila Shahril and 4 more

Open access · goldFull text readCase Reports
In one paragraph

Article in BMC neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 6 citations in OpenAlex.

  1. Rhabdomyolysis After COVID-19.The Medical journal of Australia · 2026
    Article
  2. COVID-19-Associated MDA5-Mediated Necrotizing Myositis.The American journal of case reports · 2025
    Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. 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 3 institutions in 1 country.

Azliza IbrahimDepartment of Neurology, Hospital Pengajar Universiti Putra Malaysia, Kuala Lumpur, Malaysia. azliza.i@upm.edu.my.ORCID http://orcid.org/0000-0001-9477-0871
Wan Syamimee Wan GhazaliDepartment of Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Kuala Lumpur, Malaysia.
Anna MisyailDepartment of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Kuala Lumpur, Malaysia.
Liyana NajwaDepartment of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Kuala Lumpur, Malaysia.
Abdul Hanif KhanDepartment of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Kuala Lumpur, Malaysia.
Wan Muhamad AmirDepartment of Medicine, Hospital Pengajar Universiti Putra Malaysia, Kuala Lumpur, Malaysia.
Alvin Oliver PayusDepartment of Medicine Based, Faculty of Health Sciences, Malaysia Sabah University, Sabah, Malaysia.
Loh Wei ChaoDepartment of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Kuala Lumpur, Malaysia.
Janudin BaharinDepartment of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Kuala Lumpur, Malaysia.
Nor Shuhaila ShahrilDepartment of Medicine, Hospital Putrajaya, Putrajaya, Malaysia.
Suryati Mohd YusoffDepartment of Pathology, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Wan AliaaDepartment of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Kuala Lumpur, Malaysia.
Hoo Fan KeeDepartment of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Kuala Lumpur, Malaysia.
Hamidon BasriDepartment of Neurology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Kuala Lumpur, Malaysia.
Universiti Putra Malaysia · MYHospital Kuala Lumpur · MYUniversiti of Malaysia Sabah · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a growing body of evidence that severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) or COVID-19 infection is associated with the development of autoimmune diseases. A recent systematic review reported that the new-onset autoimmune disorders during or after COVID-19 infection included inflammatory myopathies such as immune-mediated necrotizing myopathies. CASE PRESENTATION: We described a 60-year-old man diagnosed with COVID-19 infection and later presented with a two-week history of myalgia, progressive limb weakness, and dysphagia. He had a Creatinine Kinase (CK) level of more than 10,000 U/L, was strongly positive for anti-signal recognition particle (SRP) and anti-Ro52 antibody, and a muscle biopsy revealed a paucity-inflammation necrotizing myopathy with randomly distributed necrotic fibers, which was consistent with necrotizing autoimmune myositis (NAM). He responded well clinically and biochemically to intravenous immunoglobulin, steroids and immunosuppressant and he was able to resume to his baseline.

conclusionSARS-CoV-2 may be associated with late-onset necrotizing myositis, mimicking autoimmune inflammatory myositis.

Indexed as

Autoimmune DiseasesCOVID-19Muscle, SkeletalMyositisAntibodies, AntinuclearCreatine KinaseHumansImmunosuppressive AgentsMaleMiddle AgedMyalgiaNecrosisSteroidsTreatment OutcomeAntibodies, AntinuclearCreatine KinaseImmunosuppressive AgentsSS-A antibodiesSteroidsCase reportCOVID-19Creatinine kinaseMyalgiaNecrotizing autoimmune myositis

Identifiers

PMID36949469
PMCPMC10031691
OpenAlexW4360600221

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read12
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.