Evidence map›Paper›PMID 41409912›Full record

ArticleCureus2025

The Silent Culprit: Drug-Induced Fever Associated With Trimethoprim-Sulfamethoxazole.

Maria Lages, Cristina Coelho, Susana Cadinha, Joana Barradas Lopes

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.

Maria LagesAllergy and Clinical Immunology, Unidade Local de Saúde do Algarve, Faro, PRT.
Cristina CoelhoAllergy and Clinical Immunology, Unidade Local de Saúde de Gaia e Espinho, Vila Nova de Gaia, PRT.
Susana CadinhaAllergy and Clinical Immunology, Unidade Local de Saúde de Gaia e Espinho, Vila Nova de Gaia, PRT.
Joana Barradas LopesAllergy and Clinical Immunology, Unidade Local de Saúde de Gaia e Espinho, Vila Nova de Gaia, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug-induced fever (DIF) is often misdiagnosed, particularly when it occurs alongside an infection. Its hallmark is the resolution of fever upon drug withdrawal and rapid recurrence upon re-exposure. Although five potential mechanisms have been proposed to explain this phenomenon, they remain poorly understood, making DIF a challenging diagnosis. We report a case of trimethoprim-sulfamethoxazole-induced drug fever, demonstrated by reproducible symptom onset following a drug provocation test, with supportive evidence from positive intradermal and lymphocyte transformation tests. The diagnosis of DIF requires a high degree of suspicion and the thorough exclusion of other causes of fever, such as infections or inflammatory conditions. Increased awareness and understanding of DIF are essential to improve diagnostic accuracy and patient outcomes.

Indexed as

diagnostic challengesdrug-induced feverdrug provocation testhypersensitivity reactiontrimethoprim-sulfamethoxazole

Identifiers

PMID41409912
PMCPMC12707984

What OpenQuestion holds

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LicenceCC BY
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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.