Evidence map›Paper›PMID 41034003›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Mycobacterium intracellulare Infection in a Japanese Patient with Signal Transducer and Activator of Transcription-3 Gain-of-function Syndrome.

Hideharu Hagiya, Yoshiaki Soejima, Kazuki Tokumasu, Yoji Hirai, Yuki Otsuka, Marina Kawaguchi, Shinnosuke Fukushima, Kenta Nakamoto, Kohei Oguni, Yusuke Shiode and 5 more

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. 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

15 authors.

Hideharu HagiyaDepartment of Infectious Diseases, Okayama University Hospital, Japan.
Yoshiaki SoejimaDepartment of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
Kazuki TokumasuDepartment of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
Yoji HiraiDepartment of Dermatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
Yuki OtsukaDepartment of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
Marina KawaguchiDepartment of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
Shinnosuke FukushimaDepartment of Infectious Diseases, Okayama University Hospital, Japan.
Kenta NakamotoDepartment of Infectious Diseases, Okayama University Hospital, Japan.
Kohei OguniDepartment of Infectious Diseases, Okayama University Hospital, Japan.
Yusuke ShiodeDepartment of Ophthalmology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
Kazuhiro UdaDepartment of Pediatrics, Okayama University Hospital, Japan.
Masato YashiroDepartment of Pediatrics, Okayama University Hospital, Japan.
Kousei HasegawaDepartment of Pediatrics, Okayama University Hospital, Japan.
Koji IioMicrobiology Division, Clinical Laboratory, Okayama University Hospital, Japan.
Fumio OtsukaDepartment of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Signal transducer and activator of transcription-3 (STAT3) gain-of-function (GOF) syndrome predisposes patients to autoimmunity diseases. Yet, nontuberculous mycobacterial (NTM) infections have rarely been described. We herein report a teenage Japanese patient with genetically confirmed STAT3-GOF syndrome who developed Mycobacterium intracellulare disease. Combination antimycobacterial chemotherapy reduced the bacterial burden; however, the refractory NTM infection relapsed after initiation of adjunctive tofacitinib therapy. The present case demonstrates that host-directed therapy must be combined with prolonged antimycobacterial regimens to control drug-resistant NTM in patients with inborn errors of immunity.

Indexed as

Gain of Function MutationMycobacterium avium-intracellulare InfectionSTAT3 Transcription FactorAdolescentAnti-Bacterial AgentsEast Asian PeopleFemaleHumansJapanMaleMycobacterium avium ComplexPiperidinesPyrimidinesPyrrolesSyndromeAnti-Bacterial AgentsPiperidinesPyrimidinesPyrrolesSTAT3 protein, humanSTAT3 Transcription Factortofacitinibinborn errors of immunityMycobacterium avium complexnontuberculous mycobacteriaprimary immunodeficiency syndromesignal transducer and activator of transcription-3

Identifiers

PMID41034003
PMCPMC13265111

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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.