Evidence map›Paper›PMID 41393569›Full record

ArticleCureus2025

Cytokine Release Syndrome: A Case Report.

Inês Filipa Silva, Sofia Gomes Salgueira, Ana Isabel Loureiro, Luisa Nascimento, Teresa Gomes

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

5 authors.

Inês Filipa SilvaPulmonology Department, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, PRT.
Sofia Gomes SalgueiraPulmonology Department, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, PRT.
Ana Isabel LoureiroPulmonology Department, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, PRT.
Luisa NascimentoPulmonology Department, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, PRT.
Teresa GomesPulmonology Department, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Vila Real, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although generally well tolerated, immune checkpoint inhibitors can occasionally lead to severe immune-related adverse events, including cytokine release syndrome (CRS), a condition resulting from excessive immune activation and cytokine secretion, specifically interleukin-6 (IL-6). We report the case of a 71-year-old male with stage IVB lung adenocarcinoma undergoing maintenance therapy with pembrolizumab and pemetrexed, who presented with an acute confusional state and fever unresponsive to antipyretics. An extensive infectious, neurological, and oncological workup was negative. Elevated serum IL-6 levels (270 pg/mL) supported the diagnosis of CRS. The patient was successfully treated with systemic corticosteroids, resulting in the resolution of fever and neurological symptoms. This case underscores the importance of early recognition and prompt management of CRS in patients receiving immune checkpoint inhibitors, highlighting corticosteroid therapy as an effective treatment strategy.

Indexed as

clinical case reportcytokine release syndromediagnosis of rare casesinterleukin-6interleukin (il)-6pembrolizumab

Identifiers

PMID41393569
PMCPMC12699360

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.