Evidence map›Paper›PMID 37954983›Full record

ArticleCase reports in infectious diseases2023

Flea-Borne Typhus Presenting with Acalculous Cholecystitis and Severe Anemia.

Ramya Varadarajan, Ashmi P Patel, Keyvon Rashidi, Albert Oh, Rashmeen Rahman, Ryan Neal

Abstract readCase Reports
In one paragraph

Article in Case reports in infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Ramya VaradarajanTexas A&M College of Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.ORCID https://orcid.org/0000-0002-4042-5869
Ashmi P PatelDepartment of Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.ORCID https://orcid.org/0000-0002-0343-5603
Keyvon RashidiTexas A&M College of Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.ORCID https://orcid.org/0000-0001-5839-1938
Albert OhTexas A&M College of Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.ORCID https://orcid.org/0000-0001-6138-1589
Rashmeen RahmanDepartment of Endocrinology, University of Texas Medical Branch, Galveston, TX 77555, USA.
Ryan NealDepartment of Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.ORCID https://orcid.org/0009-0000-5780-3347

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Flea-borne typhus (FBT), an uncommon illness in the United States, typically presents as a high continuous fever with commonly associated symptoms including headache, myalgias, and rashes on the trunk and extremities. Patients infected with FBT may also present with atypical symptoms. As such, the combination of its relatively low incidence in the United States coupled with its variability in associated symptoms poses a diagnostic challenge for clinicians; early empiric treatment with doxycycline is warranted prior to a definitive diagnosis to reduce the risk of damage to vital organs. Conclusion: Albeit uncommon, the presentation of this patient's symptoms and final diagnosis of flea-borne typhus demonstrates the importance of (1) keeping atypical infections such as FBT in the differential diagnosis and (2) beginning empiric treatment to prevent damage to vital organs if suspicion of FBT is high.

Identifiers

PMID37954983
PMCPMC10637845

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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.