Evidence map›Paper›PMID 40415878›Full record

ArticleClinical case reports2025

Serendipity in Emergency Diagnostics: Near Miss of a

Azad Durussel, Sébastien Pugnale, Ludovic Galofaro, Jean-Luc Magnin, Youcef Guechi, Vincent Ribordy

Abstract read
In one paragraph

Article in Clinical case reports, 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. 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

6 authors.

Azad DurusselDepartment of Emergency Medicine University and Teaching Hospital Fribourg Switzerland.
Sébastien PugnaleDepartment of Internal Medicine University and Teaching Hospital Fribourg Switzerland.ORCID https://orcid.org/0009-0003-8965-5846
Ludovic GalofaroDepartment of Emergency Medicine University and Teaching Hospital Fribourg Switzerland.
Jean-Luc MagninDepartment of Laboratory University and Teaching Hospital Fribourg Switzerland.
Youcef GuechiDepartment of Emergency Medicine University and Teaching Hospital Fribourg Switzerland.
Vincent RibordyDepartment of Emergency Medicine University and Teaching Hospital Fribourg Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 31-year-old Cameroonian man presented to the emergency department (ED) with a productive cough, exertional dyspnoea, and asthenia for a few days. The initial evaluation was limited due to cultural barriers, lack of known medical history, and the patient's migration journey through Libya, Tunisia, and Germany over the past 5 years before recently arriving in Switzerland. Clinical examination revealed no red flags. Blood counts were normal, C-reactive protein (CRP) was elevated at 91 mg/L, and a chest X-ray was unremarkable. A diagnosis of influenza-like syndrome was made. The patient returned the following day with increased fatigue and fever. A rapid malaria test was negative, a blood smear was ordered, and CRP levels rose to 148 mg/L. During an influenza epidemic, PCR confirmed Influenza A. The patient was reassured and prescribed ibuprofen and paracetamol. Subsequently, the laboratory detected not malaria but filariae, and a diagnosis of Loiasis (

Indexed as

clinical reasoningdiagnostic errorsemergency careLoiasistransients and migrantsunconscious bias

Identifiers

PMID40415878
PMCPMC12102754

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.