Evidence map›Paper›PMID 40032639›Full record

SynthesisAnatolian journal of cardiology2025

A Systematic Review and Analysis of Brucella Endocarditis Cases.

Seniha Başaran, Serap Şimşek-Yavuz, Mukime Elif Sarıcaoğlu, Mehtap Aydın, Gökhan Aygün, Alpay Azap, Özlem Azap, Aysun Benli, Neşe Demirtürk, Önder Ergönül and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in Anatolian journal of cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. 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

16 authors.

Seniha BaşaranDepartment of Infectious Diseases and Clinical Microbiology, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Türkiye.
Serap Şimşek-YavuzDepartment of Infectious Diseases and Clinical Microbiology, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Türkiye.
Mukime Elif SarıcaoğluDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Ankara University, Ankara, Türkiye.
Mehtap AydınDepartment of Infectious Diseases and Clinical Microbiology, Ümraniye Training and Research Hospital, İstanbul, Türkiye.
Gökhan AygünDepartment of Infectious Diseases and Clinical Microbiology, Cerrahpaşa Faculty of Medicine, İstanbul University Cerrahpaşa, İstanbul, Türkiye.
Alpay AzapDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Ankara University, Ankara, Türkiye.
Özlem AzapDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Başkent University, Ankara, Türkiye.
Aysun BenliDepartment of Infectious Diseases and Clinical Microbiology, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Türkiye.
Neşe DemirtürkDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Afyon Kocatepe University, Afyon, Türkiye.
Önder ErgönülDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Koç University, İstanbul, Türkiye.
Aysel Kocagül-ÇelikbaşDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Hitit University, Çorum, Türkiye.
Ferit KuşçuDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Çukurova University, Adana, Türkiye.
Selçuk ÖzgerDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Gazi University, Ankara, Türkiye.
Selda Sayın KutluDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Pamukkale University, Denizli, Türkiye.
Nesrin TürkerDepartment of Infectious Diseases and Clinical Microbiology, İzmir Atatürk Training and Research Hospital, İzmir, Türkiye.
Emine Türkoğlu-YılmazDepartment of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endocarditis is the most common cause of death from brucellosis. The information used to guide the management of cases with Brucella endocarditis has relied on case reports/series. Risk factors related to death and other adverse outcomes in patients with Brucella endocarditis were identified by an individual-patient data analysis of all reported Brucella endocarditis cases in the literature. The keywords "Bruce" and "endocard" were used to search articles published until July 2022 on PubMed and ULAKBIM databases. Case reports/series containing patients with endocarditis caused by Brucella spp., aged ≥17 years, and with data on antimicrobial or surgical treatment were included in the study. Epidemiological, clinical, laboratory, and treatment characteristics and outcomes of 273 cases from 86 eligible articles were recorded. It was found that male gender, a Wright serum tube agglutination (STA) titer of ≥1/1280 on admission, development of heart failure due to endocarditis were independent risk factors that increase mortality, while the usage of aminoglycoside and cardiac surgical intervention for endocarditis were factors reducing mortality. Including streptomycin or gentamicin in the treatment regimen may benefit patients with Brucella endocarditis. Valve surgery could be life-saving in patients with Brucella endocarditis. An STA titer of ≥1/1280, which probably reflects long-term and advanced disease, may be used as a marker for increased mortality. However, additional and more reliable studies are needed to define the most appropriate management approach in diagnosing and treating cases with Brucella endocarditis due to the low quality of the current evidence.

Indexed as

BrucellosisEndocarditis, BacterialAnti-Bacterial AgentsFemaleHumansMaleRisk FactorsAnti-Bacterial Agents

Identifiers

PMID40032639
PMCPMC11904252

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.