Evidence map›Paper›PMID 38414905›Full record

ArticleCase reports in psychiatry2024

A Case Report of a Patient with Soaring Clozapine Levels after Developing a Urinary Tract Infection.

Adesh Kumar Agrawal, Soumitra Das, Lorenzo Abednego B Adre, Nakka Raghuma, Sharanya Kaushik, Adarsha Adhikari

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in psychiatry, 2024. 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
0.4field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  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 at 5 institutions in 3 countries.

Adesh Kumar AgrawalAll India Institute of Medical Sciences, Deoghar, India.
Soumitra DasDepartment of Psychiatry, Western Health, Victoria, Australia.
Lorenzo Abednego B AdreManila Doctors Hospital, Manila, Philippines.ORCID https://orcid.org/0000-0002-3726-6705
Nakka RaghumaGSL Medical College and General Hospital, Rajahmundry, India.
Sharanya KaushikBangalore Medical College and Research Institute, Bengaluru, India.
Adarsha AdhikariGandaki Medical College, Pokhara, Nepal.ORCID https://orcid.org/0000-0001-7261-478X
All India Institute of Medical Sciences, Deoghar · INBangalore Medical College and Research Institute · INGSL Medical College & General Hospital · INPokhara University · NPWestern Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clozapine is an antipsychotic medicine used to treat mental illnesses that is resistant to therapy. It can induce dose-dependent adverse effects such as increased susceptibility to infections and hematological irregularities. In this case report, we present a 37-year-old woman with schizoaffective disorder who experienced clozapine side effects following a moderate urinary tract infection (UTI). Her serum clozapine levels and side effects were increased throughout her UTI but resolved once the UTI was managed conservatively. We reviewed clozapine's pharmacokinetic properties to understand why serum levels rose during infection. While we could not definitely explain the mechanism of elevation, we emphasize the importance of monitoring serum clozapine levels and keeping watchful for adverse effects, as well as heightened scrutiny, evaluation for recent infections, and regular monitoring of patients.

Identifiers

PMID38414905
PMCPMC10898943
OpenAlexW4391984555

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.