Evidence map›Paper›PMID 38070540›Full record

ArticleThe Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

Rickettsia rickettsii and Rickettsia typhi in hospitalized children diagnosed with Pediatric Multisystemic Inflammatory Syndrome in Merida, Yucatan.

Karla Dzul-Rosado, Dayana Guadalupe Lavín-Sánchez, Gerardo Álvarez Hernández, Salvador Gómez-Carro, Fernando I Puerto-Manzano

Open access · goldAbstract readCase Reports
In one paragraph

Article in The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Subclinical Cardiac Disturbances AfterTropical medicine and infectious disease · 2026
    Article
  2. MIS-C: Diagnosis, Management, and Outcomes.Open forum infectious diseases · 2026
    Review
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

5 authors at 2 institutions in 1 country.

Karla Dzul-RosadoHideyo Noguchi Regional Investigation Center, Faculty of Medicine, Autonomous University of Yucatan, Mérida, México. Electronic address: karla.dzul@correo.uady.mx.
Dayana Guadalupe Lavín-SánchezHideyo Noguchi Regional Investigation Center, Faculty of Medicine, Autonomous University of Yucatan, Mérida, México.
Gerardo Álvarez HernándezDepartment of Medicine and Health Sciences, University of Sonora, Sonora, México.
Salvador Gómez-CarroAgustín O' Horan General Hospital, Department of Health, Mérida, Yucatán, México.
Fernando I Puerto-ManzanoHideyo Noguchi Regional Investigation Center, Faculty of Medicine, Autonomous University of Yucatan, Mérida, México.
Autonomous University of Yucatán · MXUniversidad de Sonora · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multisystem Inflammatory Syndrome in Children (MIS-C) presents with fever, fatigue, elevated inflammatory markers (acute phase reactants), and a history of exposure to SARS-CoV-2 or positive antibodies to SARS-CoV-2. As the COVID-19 pandemic unfolded, the risk of MIS-C in the pediatric population increased. However, exposure to other viruses and the presence of SARS-CoV-2 positive antibodies in children hospitalized for various pathogen-associated illnesses will also remain common and may complicate differential diagnoses with diseases endemic to the region such as rickettsial diseases. The objective was to highlight the desirability of medical personnel systematically incorporating rickettsiosis as a differential diagnosis for MIS-C when studying a child with fever, non-specific symptoms, and elevated inflammatory markers. In conclusion MIS-C should be considered in children with elevated inflammatory markers when there is a history of COVID-19 and they also meet criteria that have already been established by international agencies, such as CDC and WHO.

Indexed as

Rickettsia rickettsiiRickettsia typhiSystemic Inflammatory Response SyndromeChildChild, HospitalizedCOVID-19FeverHumansMexicoPandemicsFeverInflammatory markersMIS-CRickettsiosis

Identifiers

PMID38070540
PMCPMC10826168
OpenAlexW4389369499

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.