Evidence map›Paper›PMID 37641081›Full record

ReviewBMC pediatrics2023

Mycobacterium abscessus pulmonary disease presenting with spontaneous pneumomediastinum and subcutaneous emphysema in childhood acute lymphoblastic leukemia: a case report and literature review.

Wenyuan Liu, Jinhua Chu, Zhiwei Xie, Linhai Yang, Lingling Huang, Songji Tu, Huaju Cai, Zhengyu Wu, Anbang Wei, Chengzhu Liu and 3 more

Open access · goldAbstract readReviewCase Reports
In one paragraph

Review in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. [Pulmonary disease caused byZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Review
  3. Review
  4. 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

13 authors at 2 institutions in 1 country.

Wenyuan Liu *Department of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China.
Jinhua Chu *Department of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China.
Zhiwei Xie *Department of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China.
Linhai Yang *Department of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China.
Lingling HuangDepartment of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China.
Songji TuDepartment of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China.
Huaju CaiDepartment of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China.
Zhengyu WuDepartment of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China.
Anbang WeiDepartment of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China.
Chengzhu LiuDepartment of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China.
Yan ChengDepartment of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China. 2414791109@qq.com.
Kunlong ZhangDepartment of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China. 80148229@qq.com.
Ningling WangDepartment of Pediatrics, The Second Affiliated Hospital of Anhui Medical University, Anhui Province, No. 678 Furong Road, Hefei City, 230601, China. zwnltt@126.com.
Second Hospital of Anhui Medical University · CNAnhui Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMycobacterium abscessus is a rapidly growing mycobacterium commonly identified in adults with underlying pulmonary diseases but is rarely observed in children. A better understanding of this pathogen in children is essential. CASE PRESENTATION: We report the case of a 49-month-old female child without previous underlying pulmonary diseases but with acute lymphoblastic leukemia (ALL). The patient was complicated with pneumonia during chemotherapy, which was primarily characterized by spontaneous pneumomediastinum and subcutaneous emphysema on chest computed tomography (CT). M. abscessus sequences were detected by metagenomic next-generation sequencing in bronchoalveolar lavage fluid. With mechanical ventilation, closed thoracic drainage, and anti-infective therapy for 6 months, the patient's infection was controlled. The patient completed 2.5 years of treatment for ALL, and the drugs were discontinued. The patient currently remains in complete hematologic remission. DISCUSSION: We reviewed the literature on 33 children with M. abscessus pulmonary disease. These children mostly had underlying immunodeficiency. Chest CT most often showed nodular shadows, consolidation, and bronchiectasis. Spontaneous pneumomediastinum and subcutaneous emphysema were not reported as major manifestations.

conclusionSpontaneous pneumomediastinum and subcutaneous emphysema were our patient's main characteristics on chest CT, and this study enriches the knowledge regarding possible imaging changes in M. abscessus pulmonary disease in children. This case report reflects good clinical experience in maintaining the balance between chemotherapy and anti-infective therapy in childhood ALL.

Indexed as

Lung DiseasesMediastinal EmphysemaMycobacterium abscessusPrecursor Cell Lymphoblastic Leukemia-LymphomaSubcutaneous EmphysemaAdultChildChild, PreschoolFemaleHumansAcute lymphoblastic leukemiaChildrenMycobacterium abscessusPneumoniaSpontaneous pneumomediastinumSubcutaneous emphysema

Identifiers

PMID37641081
PMCPMC10463631
OpenAlexW4386220737

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.