Evidence map›Paper›PMID 42445805›Full record

ArticleEuropean heart journal. Case reports2026

Paradoxical systemic manifestations from right-sided infective endocarditis via a transient intrapulmonary shunt: a case report.

Yoshihito Saijo, Hirotsugu Yamada, Eriko Nasu, Shusuke Yagi, Masataka Sata

Abstract readCase Reports
In one paragraph

Article in European heart journal. Case reports, 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.

Yoshihito SaijoDepartment of Cardiovascular Medicine, Tokushima University Hospital, 2-50-1, Kuramoto-cho, Tokushima 770-8503, Japan.ORCID https://orcid.org/0000-0002-1621-0200
Hirotsugu YamadaDepartment of Cardiovascular Medicine, Tokushima University Hospital, 2-50-1, Kuramoto-cho, Tokushima 770-8503, Japan.ORCID https://orcid.org/0000-0003-3741-5560
Eriko NasuDepartment of Cardiovascular Medicine, Tokushima University Hospital, 2-50-1, Kuramoto-cho, Tokushima 770-8503, Japan.
Shusuke YagiDepartment of Cardiovascular Medicine, Tokushima University Hospital, 2-50-1, Kuramoto-cho, Tokushima 770-8503, Japan.ORCID https://orcid.org/0000-0001-8765-8742
Masataka SataDepartment of Cardiovascular Medicine, Tokushima University Hospital, 2-50-1, Kuramoto-cho, Tokushima 770-8503, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Right-sided infective endocarditis (RSIE) commonly causes septic pulmonary embolism, whereas systemic manifestations typically suggest concomitant left-sided infective endocarditis or an intracardiac right-to-left shunt such as patent foramen ovale (PFO). Case summary: A 24-year-old man with atopic dermatitis presented with fever and painful distal extremity skin lesions. Three sets of blood cultures grew Discussion: This case represents a plausible mechanism of paradoxical systemic manifestations in RSIE via a transient intrapulmonary shunt during severe septic pulmonary embolic disease.

Indexed as

Agitated-saline contrastCase reportEchocardiographyMicrobubbleParadoxical embolismRight-sided infective endocarditisSeptic pulmonary embolismTricuspid valve

Identifiers

PMID42445805
PMCPMC13361979

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.