Evidence map›Paper›PMID 41742968›Full record

ArticleCureus2026

Purpura Fulminans With Digital Gangrene in Severe Plasmodium falciparum Malaria: A Case Presentation.

Inês Palmares, Catarina Morgado, Francisco Dá Mesquita Faustino, Joana Silva, Paulo Freitas

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

5 authors.

Inês PalmaresCritical Care Medicine, Hospital Professor Doutor Fernando Fonseca, Amadora, PRT.
Catarina MorgadoCritical Care Medicine, Hospital Professor Doutor Fernando Fonseca, Amadora, PRT.
Francisco Dá Mesquita FaustinoCritical Care Medicine, Hospital Professor Doutor Fernando Fonseca, Amadora, PRT.
Joana SilvaCritical Care Medicine, Hospital Professor Doutor Fernando Fonseca, Amadora, PRT.
Paulo FreitasCritical Care Medicine, Hospital Professor Doutor Fernando Fonseca, Amadora, PRT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpura fulminans and peripheral gangrene are rare and severe complications of malaria, resulting from microvascular thrombosis driven by endothelial injury, cytokine-mediated coagulation and depletion of anticoagulants. Because there are no effective strategies to prevent progression to gangrene, the most important part of the management is initiating effective antimalarial therapy as soon as possible. In this report, the authors describe the case of a 66-year-old woman who returned from Angola without antimalarial chemoprophylaxis and presented with cerebral malaria due to Plasmodium falciparum infection. Despite early intravenous artesunate, hyperbaric oxygen therapy and supportive care, she developed purpuric lesions on the feet that evolved to gangrene, although systemic recovery was achieved.

Indexed as

acral ischemiacritical caredigital gangrenemalariaplasmodium falciparumpurpura fulminanssevere malaria

Identifiers

PMID41742968
PMCPMC12930323

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.