Evidence map›Paper›PMID 38496135›Full record

ArticleCureus2024

Hemophagocytic Lymphohistiocytosis Associated With Human Herpesvirus-6 (HHV-6) Infection in an Immunocompetent Adult: A Case Report.

Ateeb Ur Rahman, Fahad Baig, Umar Iqbal Javid Chaudhary, Muhammad Bilal Ashraf, Muhammad Daim Jawaid, Amna Chaudary, Munim Tariq

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 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
0.9field-weighted citation impact, top 26% 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, 2 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

7 authors at 2 institutions in 3 countries.

Ateeb Ur RahmanDepartment of Internal Medicine, Penn State Health, Camp Hill, USA.
Fahad BaigDepartment of Medicine, Rashid Latif Medical College, Lahore, PAK.
Umar Iqbal Javid ChaudharyDepartment of Medicine, Arif Memorial Teaching Hospital, Rashid Latif Medical College, Lahore, PAK.
Muhammad Bilal AshrafDepartment of Community Medicine, Rashid Latif Medical College, Lahore, PAK.
Muhammad Daim JawaidDepartment of Medicine, Rashid Latif Medical College, Lahore, PAK.
Amna ChaudaryDepartment of Internal Medicine, Penn State Health, Camp Hill, PAK.
Munim TariqDepartment of Internal Medicine, The Rotherham NHS Foundation Trust, Sheffield, GBR.
The Rotherham NHS Foundation Trust · GBRashid Latif Medical College · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemophagocytic lymphohistiocytosis (HLH) is a rare disorder characterized by extreme immune activation and excessive inflammation. It has been reported in patients with familial cases, immunodeficiencies, malignancies, stem cell transplants, and viral etiologies. This report describes acquired HLH associated with Human herpesvirus-6 (HHV-6) infection in a 76-year-old previously healthy male. The patient was admitted to the hospital due to fever, chills, and abdominal pain. The diagnostic workup revealed gallbladder wall thickening on imaging, concerning for cholecystitis. The patient was started on treatment for sepsis. Further clinical deterioration led to an extensive infectious workup. The patient was found to have elevated soluble IL-2Ra levels, and a bone marrow biopsy was performed, which revealed HLH. A positive HHV-6 polymerase chain reaction in the cerebrospinal fluid and serum confirmed the viral infection. Treatment involved the initiation of high-dose steroids, etoposide, and ganciclovir. Despite these interventions, the patient's clinical status worsened, leading to the implementation of comfort measures, and the patient eventually died. This case underscores the importance of considering HHV-6 as a potential cause of HLH in immunocompetent adults. From this case, we infer that a heightened level of vigilance is necessary to recognize and intervene in this challenging condition promptly.

Indexed as

cytokine release stormhemophagocytic lymphohistiocytosis (hlh)human herpes virus type 6hyperferritinemiasecondary hemophagocytic lymphohistiocytosis (hlh)

Identifiers

PMID38496135
PMCPMC10944635
OpenAlexW4391878974

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.