Evidence map›Paper›PMID 41949807›Full record

ArticleInfection2026

Delayed hyperergic reaction ensuing puncture drainage of an echinococcal cyst in the left hepatic lobe of a six-year-old boy.

Amelie Fell, Luise Martin, Florian Nima Fleckenstein, Dominik Geisel, Robert Oellinger, Ute Aurbach, Joachim Richter, Horst von Bernuth

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Article in Infection, 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

8 authors.

Amelie FellDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité University Medicine, Berlin, Corporate Member of Free University and Humboldt University and Berlin Institute of Health, Berlin, Germany.
Luise MartinDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité University Medicine, Berlin, Corporate Member of Free University and Humboldt University and Berlin Institute of Health, Berlin, Germany.
Florian Nima FleckensteinDepartment of Radiology, Charité University Medicine, Berlin, Corporate Member of Free University and Humboldt University and Berlin Institute of Health, Berlin, Germany.
Dominik GeiselDepartment of Radiology, Charité University Medicine, Berlin, Corporate Member of Free University and Humboldt University and Berlin Institute of Health, Berlin, Germany.
Robert OellingerDepartment of General and Abdominal Surgery, Charité University Medicine, Berlin, Corporate Member of Free University and Humboldt University and Berlin Institute of Health, Berlin, Germany.
Ute AurbachInstitute of International Health, Charité Centre for Global Health, Charité University Medicine, Berlin, Corporate Member of Free University and Humboldt University and Berlin Institute of Health, Berlin, Germany.
Joachim RichterInstitute of International Health, Charité Centre for Global Health, Charité University Medicine, Berlin, Corporate Member of Free University and Humboldt University and Berlin Institute of Health, Berlin, Germany. jockelri@gmail.com.
Horst von BernuthDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité University Medicine, Berlin, Corporate Member of Free University and Humboldt University and Berlin Institute of Health, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe WHO expert group for echinococcosis recommends percutaneous treatment for the treatment of unilocular echinococcal cysts. In the rare case a hyperergic reaction occurs, it occurs as a type I immediate allergic reaction immediately after the cyst wall puncture. CASE PRESENTATION: A 6-year-old boy with a unilocular echinococcal cyst in the left hepatic lobe, was treated with cyst puncture / drainage via the right hepatic lobe and falciform ligament under coverage with praziquantel and albendazole. No allergic reaction occurred during the procedure, but three hours later an acute severe hyperergic reaction occurred.

conclusionPatients who have undergone an invasive therapy or suffered an acute leakage of an echinococcal cyst must be closely surveilled with the possibility of intensive care for at least 24 h after intervention.

Indexed as

DrainageEchinococcosisEchinococcosis, HepaticPuncturesAlbendazoleAnimalsAnthelminticsChildHumansLiverMalePraziquantelAlbendazoleAnthelminticsPraziquantelDelayed hyperergic reactionEchinococcal cystEchinococcus granulosusLeft hepatic lobeLigamentum falciformePuncture drainage

Identifiers

PMID41949807

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.