Evidence map›Paper›PMID 39071190›Full record

ArticleSAGE open medical case reports2024

Severe thrombocytopenia caused by cytomegalovirus infection in an immunocompetent adult: A case report.

Hiroki Maita, Kanata Tonosaki, Amo Ozawa, Tadashi Kobayashi, Takashi Akimoto, Takashi Mizuno, Masaya Ogino, Takashi Teshiromori, Shigeki Narita, Yuka Miura and 1 more

Abstract readCase Reports
In one paragraph

Article in SAGE open medical case reports, 2024. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Hiroki MaitaDevelopment of Community Healthcare, Hirosaki University Graduate School of Medicine, Aomori, Japan.ORCID https://orcid.org/0000-0001-9642-9116
Kanata TonosakiDepartment of General Medicine, Towada City Hospital, Aomori, Japan.
Amo OzawaDepartment of General Medicine, Towada City Hospital, Aomori, Japan.
Tadashi KobayashiDepartment of General Medicine, Hirosaki University School of Medicine and Hospital, Aomori, Japan.ORCID https://orcid.org/0000-0002-2001-4464
Takashi AkimotoEmergency, Disaster and General Medicine, Hirosaki University Graduate School of Medicine, Aomori, Japan.ORCID https://orcid.org/0000-0001-8569-7887
Takashi MizunoDepartment of General Medicine, Towada City Hospital, Aomori, Japan.
Masaya OginoDepartment of General Medicine, Towada City Hospital, Aomori, Japan.
Takashi TeshiromoriDepartment of General Medicine, Towada City Hospital, Aomori, Japan.
Shigeki NaritaDepartment of General Medicine, Towada City Hospital, Aomori, Japan.
Yuka MiuraDepartment of General Medicine, Towada City Hospital, Aomori, Japan.
Hiroyuki HanadaDevelopment of Community Healthcare, Hirosaki University Graduate School of Medicine, Aomori, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 53-year-old otherwise healthy man was referred to our hospital with a fever of unknown origin, headache, and arthralgia. Four days earlier, he had a fever with chills. Treatment with antibiotics and acetaminophen proved ineffective, with the patient subsequently developing headache and joint pain. Blood analysis revealed elevated inflammatory markers, liver impairment, and severe thrombocytopenia (platelet count, 19,000/μL). Subsequent tests revealed elevated levels of anti-cytomegalovirus IgM and IgG. Based on these findings, the patient was diagnosed with severe thrombocytopenia associated with cytomegalovirus infection. Platelet counts increased spontaneously without antiviral therapy. Forty-five days after the initial visit, the symptoms improved, and blood tests revealed resolution of the inflammatory findings, with the platelet count recovering to 155,000/μL. Although the disease may resolve spontaneously, cytomegalovirus infection should be considered as a differential diagnosis in case of severe thrombocytopenia in immunocompetent adults.

Indexed as

Cytomegalovirusfever of unknown originliver dysfunctionlymphadenopathythrombocytopenia

Identifiers

PMID39071190
PMCPMC11282553

What OpenQuestion holds

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LicenceCC BY-NC
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.