Evidence map›Paper›PMID 39934661›Full record

SynthesisBMC infectious diseases2025

Tissue infarction secondary to brucellosis: a systematic review of case reports and case series.

Amirreza Keyvanfar, Hanieh Najafiarab, Zahra Mohammadi, Mahdi Falah Tafti, Niki Talebian, Shabnam Tehrani, Davood Yadegarynia

Abstract readSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. [Research progress on brucellosis combined with liver injury].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    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

7 authors.

Amirreza KeyvanfarInfectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Amirrezakeyvanfar@yahoo.com.
Hanieh NajafiarabPreventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Zahra MohammadiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mahdi Falah TaftiStudent Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Niki TalebianPreventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Shabnam TehraniInfectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Davood YadegaryniaInfectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTissue infarction is a rare but serious life-threatening complication of brucellosis. In this systematic review, we investigated manifestations, diagnostic and therapeutic measures, and causes of tissue infarction in patients with brucellosis.

methodsPubmed/Medline, Embase, Scopus, and Web of Science were systematically searched for case reports or case series that detail tissue infarction secondary to brucellosis up to October 20, 2024. Baseline characteristics, clinical and paraclinical findings, infarcted tissue details, treatments, and outcomes of the patients were independently extracted by two reviewers.

resultsA total of 34 articles were included, reporting on 36 brucellosis patients with tissue infarction in the central nervous system (CNS) (n = 24), spleen (n = 6), heart (n = 3), kidney (n = 1), bowel (n = 1), and three organs-spleen-bowel-kidney- (n = 1). These patients primarily presented with flu-like symptoms and organ-specific manifestations resulting from tissue infarction. Laboratory findings were predominantly suggestive of brucellosis. Furthermore, tissue infarctions were confirmed by imaging in all cases. Most patients indicated improvement with medications and surgical interventions.

conclusionTissue infarction in patients with brucellosis can impact various organs, particularly the brain, spleen, and heart, with symptoms differing based on the specific organ involved. As patients with brucellosis exhibit symptoms of tissue infarction, healthcare providers should be aware of this complication. Prompt diagnosis can be achieved through laboratory and imaging investigations. Appropriate medical and surgical treatments should be provided for these cases.

trial registrationThe study protocol was registered in the international prospective registry of systematic reviews known as PROSPERO (Protocol number: CRD42024595263).

Indexed as

BrucellosisInfarctionAdolescentAdultAgedCase Reports as TopicCentral Nervous SystemFemaleHeartHumansIntestinesKidneyMaleMiddle AgedMyocardiumSpleenBrucellosisMyocardial infarctionStrokeTissue infarction

Identifiers

PMID39934661
PMCPMC11818214

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.