Evidence map›Paper›PMID 40013214›Full record

ArticleCureus2025

Hickam's Dictum Prevails: Kaposi Sarcoma and Primary Effusion Lymphoma in a Person Living With Human Immunodeficiency Virus (HIV) and Human Herpesvirus 8 (HHV-8) Infection.

Arthur E McKinnon, Sahil Maharaj, Muhammad I Randeree, Sithembiso A Sikhosana

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 2 papers.

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

2 citing papers in PubMed.

  1. Review
  2. 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

4 authors.

Arthur E McKinnonInternal Medicine, Rob Ferreira Tertiary Hospital, Nelspruit, ZAF.
Sahil MaharajInternal Medicine, Rob Ferreira Tertiary Hospital, Nelspruit, ZAF.
Muhammad I RandereeRadiology, Rob Ferreira Tertiary Hospital, Nelspruit, ZAF.
Sithembiso A SikhosanaInternal Medicine, Rob Ferreira Tertiary Hospital, Nelspruit, ZAF.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human immunodeficiency virus (HIV) infection has a plethora of effects on its host, including increased susceptibility to opportunistic infections and increased likelihood of developing HIV-associated malignancies. The combined cellular dysfunction orchestrated by co-infection with oncogenic viruses, such as human herpesvirus-8 (HHV-8) and Epstein-Barr virus (EBV), further amplifies the risk of malignancy in people living with HIV/AIDS (PLHA). We report a rare case of Kaposi sarcoma (KS) and extra cavitary primary effusion lymphoma (EPEL) in a 48-year-old woman with advanced HIV disease on antiretroviral treatment presenting with arthralgia, generalized body weakness, drenching night sweats, cavitary effusions, a violaceous rash on her left leg, as well as generalized lymphadenopathy. This report highlights the shared etiological role of HHV-8 in PLHA with both KS and EPEL. Given the rarity of the dual presentation of these conditions, it shows that the prudent application of Occam's razor may suffice in the majority of cases. However, Hickam's dictum should be applied when such diagnostic dilemmas exist.

Indexed as

advanced hiv diseasedisseminated kaposi sarcomaepstein- barr virushuman herpes virus type 8human immunodeficiency virus infectionkaposi's sarcoma-associated herpesvirus (kshv)primary effusion lymphomar-chop therapysouth africasub-saharan arica

Identifiers

PMID40013214
PMCPMC11864566

What OpenQuestion holds

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LicenceCC BY
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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.