Evidence map›Paper›PMID 39138429›Full record

ArticleBMC infectious diseases2024

Pulmonary abscess secondary to epididymitis caused by extended spectrum β-lactamase-producing hypervirulent Klebsiella pneumoniae: a case report.

Runjun Li, Junlong Liu, Liye Yang, Zhiwei Lin, Ling Rong, Gang Chen, Xiuying Tang

Abstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Runjun LiDepartment of Critical Care Medicine, People's Hospital of Yangjiang, Yangjiang, Guangdong, 529500, China.
Junlong LiuDepartment of Critical Care Medicine, People's Hospital of Yangjiang, Yangjiang, Guangdong, 529500, China.
Liye YangPrecision Medical Lab Center, People's Hospital of Yangjiang, Yangjiang, Guangdong, 529500, China.
Zhiwei LinLaboratory of Respiratory Disease, People's Hospital of Yangjiang, Yangjiang, Guangdong, 529500, China.
Ling RongDepartment of Pulmonary and Critical Care Medicine, People's Hospital of Yangjiang, Yangjiang, Guangdong, 529500, China.
Gang ChenDepartment of Medical Oncology, People's Hospital of Yangjiang, Yangjiang, Guangdong, 529500, China.
Xiuying TangDepartment of Cardiology, The First Hospital of QinHuangDao, Qinhuangdao, Hebei, 066000, China. 13472996700@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary abscesses resulting from epididymitis caused by extended spectrum β-lactamase-producing hypervirulent Klebsiella pneumoniae (ESBL-hvKp) in a nondiabetic patient are extremely uncommon. The infection caused by this disseminated drug-resistant bacteria, which is generally considered an intractable case, poses a potential challenge in clinical practice. CASE PRESENTATION: In this case report, we present the clinical course of a 71-year-old male patient with epididymitis, who subsequently developed cough and dyspnea following anti-infection treatment. Imaging examinations revealed severe pneumonia and pulmonary abscess. The infection of ESBL-hvKp in the epididymis led to bacteremia and subsequent lung lesions. Due to poor response to anti-infection therapy, the patient required an extended duration of anti-infection treatment and ultimately chosed to discontinue treatment.

conclusionsAcute epididymitis caused by ESBL-hvKP infection can result in the spread of the infection through the bloodstream, leading to severe pneumonia and lung abscess. Given the critical condition of the patient, even with active anti-infection treatment, there is a risk of treatment failure or potentially fatal outcomes.

Indexed as

beta-LactamasesEpididymitisKlebsiella InfectionsKlebsiella pneumoniaeLung AbscessAgedAnti-Bacterial AgentsHumansMaleAnti-Bacterial Agentsbeta-LactamasesEpididymitisExtended-spectrum β-lactamaseHypervirulenceKlebsiella pneumoniaKlebsiella pneumonia invasion syndromePulmonary abscess

Identifiers

PMID39138429
PMCPMC11321085

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.