Evidence map›Paper›PMID 40861731›Full record

ArticleCureus2025

Acute and Chronic Q Fever in a Child With Repaired Tetralogy of Fallot: A Case Report.

Alaa Mohammed Al Juaid, Faisal Almalki, Reema E Aloteibi, Thuraya Shaher Alharthi

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. Not yet cited in PubMed.

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

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

4 authors.

Alaa Mohammed Al JuaidPediatrics, King Abdullah Specialized Children Hospital, Ministry of National Guard - Health Affairs, Jeddah, SAU.
Faisal AlmalkiCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Reema E AloteibiCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Thuraya Shaher AlharthiCollege of Medicine, Taif University, Taif, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In children, Q fever often presents as an acute febrile illness, sometimes with pneumonia or hepatitis. We report in this case a 38-month-old girl with complex congenital heart disease (tetralogy of Fallot, pulmonary atresia, and ventricular septal defect) who presented with a four-day history of fever, shortness of breath, and vomiting. She had prior cardiac interventions. After admission to the PICU, she was initially treated for severe pneumonia. During her stay, her condition worsened with heart failure, hepatosplenomegaly, and pancytopenia. After extensive investigations, Q fever serology was positive, indicating chronic Q fever. The patient was treated with doxycycline and hydroxychloroquine for 18 months. Her liver function improved, and echocardiography was normal after four months. This case highlights the importance of considering Q fever in pediatric patients with cardiac history, the need for comprehensive investigations, and appropriate long-term antibiotic treatment.

Indexed as

acute q fevercase reportchronic q feverculture-negative endocarditispediatric q fever

Identifiers

PMID40861731
PMCPMC12375403

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.