Evidence map›Paper›PMID 39091617›Full record

ArticleClinical case reports2024

Solving a diagnostic dilemma in a patient with periodic fever-When the pieces of the puzzle finally fit.

Vanita Shukla, Virendra R S Sarabjit Singh, Cara Ranghell, Celine Ramgoolam, Nicole S Solomon, Vidya Ramcharitar-Maharaj, Christophe Persad, Keisha Davis-King

Abstract readCase Reports
In one paragraph

Article in Clinical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

8 authors.

Vanita ShuklaPaediatric Department Eric Williams Medical Sciences Complex, NCRHA Champ Fleurs Trinidad and Tobago.ORCID https://orcid.org/0000-0003-0378-7614
Virendra R S Sarabjit SinghFaculty of Medicine, Child Health Unit University of the West Indies St Augustine Trinidad and Tobago.ORCID https://orcid.org/0000-0003-3610-703X
Cara RanghellPaediatric Department Eric Williams Medical Sciences Complex, NCRHA Champ Fleurs Trinidad and Tobago.
Celine RamgoolamPaediatric Department Eric Williams Medical Sciences Complex, NCRHA Champ Fleurs Trinidad and Tobago.
Nicole S SolomonPaediatric Department Eric Williams Medical Sciences Complex, NCRHA Champ Fleurs Trinidad and Tobago.
Vidya Ramcharitar-MaharajPaediatric Emergency Department Eric Williams Medical Sciences Complex, NCRHA Champ Fleurs Trinidad and Tobago.
Christophe PersadAdult Medicine Department Eric Williams Medical Sciences Complex, NCRHA Champ Fleurs Trinidad and Tobago.
Keisha Davis-KingAdult Medicine Department Eric Williams Medical Sciences Complex, NCRHA Champ Fleurs Trinidad and Tobago.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The lack of pediatric subspecialists locally prior to 5 years ago, meant that some of our patients with rare, relapsing conditions were left behind. Familial Mediterranean fever can be diagnosed clinically and supported via genetic panel studies. Although neurological symptoms can be non-specific, this system symptomatology may lead patients and carers to seek medical attention. When neurological symptoms progress, seemingly refractory to first-line treatment, or suggestive of colchicine resistance, CNS demyelination should be considered by the neurologist. Abstract: Familial Mediterranean fever (FMF) is an inherited disorder with episodic fevers accompanied by pain in the abdomen, joints, or chest. It is a clinical entity that can be confirmed with a specific genetic mutation. Neurological symptoms have not been a focal point in clinical case descriptions. We aim to present the long road to diagnosing our patient, where the diagnostic clues centered around her neurological symptoms.

Indexed as

erysipelas‐like erythemafamilial Mediterranean feverMEFVMS overlapperiodic fever

Identifiers

PMID39091617
PMCPMC11291294

What OpenQuestion holds

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Registered trials

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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.