Evidence map›Paper›PMID 39897214›Full record

ArticleCureus2025

A Rare Case of Intravascular Large B-cell Lymphoma Presenting as Fever of Unknown Origin With Unexplained Proteinuria.

Dharam P Bansal, Ram K Jat, Suchita Verma, Medha Gupta, Shraddha Mehta

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. 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
–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. Review
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

5 authors.

Dharam P BansalDepartment of General Medicine, Mahatma Gandhi Medical College and Hospital, Jaipur, IND.
Ram K JatDepartment of General Medicine, Mahatma Gandhi Medical College and Hospital, Jaipur, IND.
Suchita VermaDepartment of General Medicine, Mahatma Gandhi Medical College and Hospital, Jaipur, IND.
Medha GuptaDepartment of General Medicine, Mahatma Gandhi Medical College and Hospital, Jaipur, Jaipur, IND.
Shraddha MehtaDepartment of Pathology, Unipath Speciality Lab, Ahmedabad, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravascular large B-cell lymphoma (IVLBCL) is a subtype of extranodal diffuse large B-cell lymphoma, characterized by neoplastic B-cell proliferation within blood vessels. Its nonspecific presentation, often as fever of unknown origin (FUO) and systemic symptoms, makes diagnosis challenging. We report the case of a 66-year-old male patient presenting with persistent fever, weight loss, and respiratory failure. Initial investigations, including bone marrow biopsy and imaging, were inconclusive. The lack of response to empirical therapy and the patient's worsening condition presented us with a diagnostic dilemma. The unexplained proteinuria led us to perform a renal biopsy, which confirmed IVLBCL through the identification of atypical B-cells in glomerular capillaries. This case highlights the importance of considering IVLBCL in persistent FUO cases and the role of specific tissue biopsy in diagnosis, even with nonspecific bone marrow studies. Early detection and prompt treatment are crucial, but prognosis remains poor due to diagnostic delays.

Indexed as

fever of unknown originhemophagocytic lymphohistiocytosisintravascular large b-cell lymphomaivlbcllymphomaproteinuriarenal biopsy

Identifiers

PMID39897214
PMCPMC11783199

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.