Evidence map›Paper›PMID 41367450›Full record

ArticleCureus2025

Rare Presentation of Fever of Unknown Origin: A Diagnostic Challenge.

Tanya Kondolay, Rojina Samifanni, Guo Wang, Jerry Abraham, Muhammad A Shahzad

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. 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. 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

5 authors.

Tanya KondolayPreventive Medicine, Windsor University School of Medicine in St. Kitts, Cayon, KNA.
Rojina SamifanniInternal Medicine, St. George's University School of Medicine, St. George's, GRD.
Guo WangObstetrics and Gynecology, St. George's University School of Medicine, St. George's, GRD.
Jerry AbrahamInternal Medicine, St. George's University School of Medicine, St. George's, GRD.
Muhammad A ShahzadInternal Medicine, AMITA Health Adventist Medical Center GlenOaks, Glendale Heights, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of a 49-year-old postmenopausal female patient with recurrent urinary tract infections, chronic pelvic pain, and persistent systemic symptoms, including fever, hypotension, and leukocytosis, admitted five times over a three-month period. Despite extensive antimicrobial treatment, imaging revealed retroperitoneal and gastrohepatic lymphadenopathy with pancreatic fat stranding, raising suspicion for malignancy or disseminated fungal infection. The patient's complex presentation, occupational exposure, past gynecologic procedures, and linguistic barriers compounded the diagnostic challenge. This case met the classic criteria for fever of unknown origin (FUO) and emphasizes the need for a multidisciplinary approach to rare pelvic infection presentations in postmenopausal women.

Indexed as

candiduriadiagnostic dilemmafever of unknown originlymphadenopathypelvic inflammatory diseasepelvic painpostmenopauserecurrent uti

Identifiers

PMID41367450
PMCPMC12682709

What OpenQuestion holds

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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.