Evidence map›Paper›PMID 42004151›Full record

ArticleIDCases2026

Breakthrough diphtheria in a fully immunized child in a resource-limited setting: A case report from Somalia.

Fartun Abdullahi Hassan Orey, Abdullahi Hassan Elmi, Salad Abdullahi Farah

Abstract readCase Reports
In one paragraph

Article in IDCases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

3 authors.

Fartun Abdullahi Hassan OreyDepartment of Pediatrics and Child Health, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
Abdullahi Hassan ElmiDepartment of Nursing and Midwifery, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
Salad Abdullahi FarahDepartment of Pediatrics and Child Health, Dr. Sumait Hospital, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Diphtheria is a vaccine-preventable disease that has become uncommon in populations with high immunization coverage. However, breakthrough infections may still occur, particularly in resource-limited settings, posing diagnostic and public health challenges. Case presentation: We report a clinically suspected case of diphtheria with culture-confirmed Conclusion: This case highlights that diphtheria can occur despite complete immunization, particularly in resource-limited settings. Clinicians should maintain a high index of suspicion for diphtheria when classical clinical features are present, regardless of vaccination history. Early recognition, isolation, and appropriate antimicrobial therapy remain essential to prevent complications and transmission.

Indexed as

Breakthrough infectionDiphtheriaFully immunized childPseudomembranous pharyngitisResource-limited setting

Identifiers

PMID42004151
PMCPMC13091015

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.