Evidence map›Paper›PMID 40269922›Full record

ArticleItalian journal of pediatrics2025

Rare case of necrotizing tonsillitis causing severe airway infection in an infant: a case report.

Farah Hanim Abdullah, Yi Xuan Low, Rufinah Teo, Mohd Imree Azmi, Mohammad Nizam Mokhtar, Izzuddin Azaharuddin, Azarinah Izaham

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Italian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

7 authors.

Farah Hanim AbdullahDepartment of Anesthesiology & Intensive Care, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, 56000, Malaysia. farahha0301@gmail.com.ORCID http://orcid.org/0000-0003-3451-722X
Yi Xuan LowHospital Tunku Ampuan Besar Tuanku Aishah Rohani, Hospital Pakar Kanak-kanak Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur, Malaysia.
Rufinah TeoDepartment of Anesthesiology & Intensive Care, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, 56000, Malaysia.
Mohd Imree AzmiHospital Canselor Tuanku Mukhriz, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur, Malaysia.
Mohammad Nizam MokhtarDepartment of Anesthesiology & Intensive Care, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, 56000, Malaysia.
Izzuddin AzaharuddinDepartment of Anesthesiology & Intensive Care, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, 56000, Malaysia.
Azarinah IzahamDepartment of Anesthesiology & Intensive Care, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, 56000, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNecrotizing tonsillitis is rare and may lead to life-threatening upper airway obstruction in children, requiring emergency airway management. CASE PRESENTATION: An 8-month-old boy presented with unresolved fever and was diagnosed with acute tonsillitis. Despite prior treatment with amoxicillin and paracetamol, the fever persisted, accompanied by leukopenia. Intravenous C-penicillin was initiated, but respiratory distress ensued, necessitating non-invasive ventilatory support and subsequent intubation due to increased stridor. Intubation was challenging due to copious secretions and a floppy epiglottis, but successful intubation was achieved on the second attempt using a C-MAC

conclusionThis case highlights the critical nature of necrotizing tonsillitis, especially in infants with suspected primary immunosuppressive disorders. Early recognition, prompt airway management, and surgical intervention are crucial for optimal outcomes.

Indexed as

Airway ObstructionTonsillitisHumansInfantMaleNecrosisAirwayCase reportImmunosuppressionInfantNecrotizing tonsillitisObstruction

Identifiers

PMID40269922
PMCPMC12020047

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.