Evidence map›Paper›PMID 39174900›Full record

ArticleBMC infectious diseases2024

Severe COVID-19 in HIV/Leishmania infantum coinfected patient: a successfully managed case report.

Pablo Cantalice Santos Farias, Gilberto Silva Nunes Bezerra, Patrícia Areias Feitosa Neves, Leandro Pimentel Cabral, Walter Lins Barbosa Júnior, Diego Lins Guedes, Amanda Tavares Xavier, Zulma Maria Medeiros, Virgínia Maria Barros Lorena, Paulo Sérgio Ramos Araújo and 2 more

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. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Pablo Cantalice Santos FariasDepartamento de Genética, Universidade Federal de Pernambuco (UFPE), Recife, Brasil. pablo.cantalice@ufpe.br.
Gilberto Silva Nunes BezerraDepartment of Nursing & Healthcare, Technological Univeristy of the Shannon: Midlands Midwest, Athlone, N37 HD68, Ireland.
Patrícia Areias Feitosa NevesDepartamento Medicina Tropical, Universidade Federal de Pernambuco (UFPE), Recife, Brasil.
Leandro Pimentel CabralDepartamento de Genética, Universidade Federal de Pernambuco (UFPE), Recife, Brasil.
Walter Lins Barbosa JúniorDepartamento de Parasitologia, Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Pernambuco, Brasil.
Diego Lins GuedesFaculdade de Ciências Médicas, Universidade de Pernambuco, Recife, Brasil.
Amanda Tavares XavierDepartamento de Parasitologia, Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Pernambuco, Brasil.
Zulma Maria MedeirosDepartamento de Parasitologia, Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Pernambuco, Brasil.
Virgínia Maria Barros LorenaDepartamento de Imunologia, Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Pernambuco, Brasil.
Paulo Sérgio Ramos AraújoDepartamento Medicina Tropical, Universidade Federal de Pernambuco (UFPE), Recife, Brasil.
Valdir de Queiroz BalbinoDepartamento de Genética, Universidade Federal de Pernambuco (UFPE), Recife, Brasil.
Reginaldo Gonçalves de Lima NetoDepartamento Medicina Tropical, Universidade Federal de Pernambuco (UFPE), Recife, Brasil.

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior , Brasil 310414/2022-9
6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 originated in China and swiftly spread worldwide, posing a significant threat to public health. Caused by SARS-CoV-2, it manifests as a flu-like illness that can escalate to Acute Respiratory Distress Syndrome, potentially resulting in fatalities. In countries where HIV/Leishmania infantum is endemic, the occurrence of concurrent SARS-CoV-2/HIV/Leishmania infantum infections is a reality, prompting inquiries into appropriate clinical management. CASE PRESENTATION: We present the case of a 48-year-old woman who was hospitalized for 36 days across three different hospitals in the state of Pernambuco, Brazil. She was diagnosed with SARS-CoV-2/HIV/L. infantum coinfection. The patient exhibited severe COVID-19 symptoms, including fever, productive cough, and dyspnea. Throughout her hospitalization, she experienced oxygen saturation levels of ≤ 93%, along with fluctuations in blood pressure, respiratory rate, and heart rate. Her blood tests revealed lymphopenia, leukopenia, and neutropenia, while laboratory results indicated abnormal levels of d-dimer, AST, ALT, lactate dehydrogenase, ferritin, and C-reactive protein. A computed tomography scan revealed 75% involvement of the lung parenchyma with patchy ground-glass opacities.

conclusionAgainst all odds, the patient was discharged. The leukopenia associated with HIV/L. infantum may have played a decisive role. Further studies are necessary to better understand diagnostic strategies and clinical management measures for HIV/L. infantum coinfected patients who are susceptible to SARS-CoV-2 infection.

Indexed as

CoinfectionCOVID-19HIV InfectionsLeishmania infantumSARS-CoV-2BrazilFemaleHumansLeishmaniasis, VisceralMiddle AgedCase reportCoinfectionHIVLeishmaniasisSARS-CoV-2

Identifiers

PMID39174900
PMCPMC11342618

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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.