Evidence map›Paper›PMID 42626096›Full record

ArticleClinical case reports2026

Acute Febrile Illness With Triple Co-Infection: A Case Report on the Diagnostic Challenges of Overlapping Febrile Illnesses.

Santosh Basyal, Rahul Parajuli, Dipendra Prasad Yadav, Shardul Bhattarai, Kritick Bhandari, Shrijana Basyal, Gul Zaman, Rohit Parajuli

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Santosh BasyalNepal Medical College and Teaching Hospital Kathmandu Nepal.ORCID https://orcid.org/0009-0008-6898-9413
Rahul ParajuliHospital for Advanced Medicine and Surgery Kathmandu Nepal.ORCID https://orcid.org/0000-0003-0223-3185
Dipendra Prasad YadavB.P. Koirala Institute of Health Sciences Dharan Nepal.ORCID https://orcid.org/0009-0007-2480-837X
Shardul BhattaraiNepal Medical College and Teaching Hospital Kathmandu Nepal.ORCID https://orcid.org/0009-0002-7191-2130
Kritick BhandariKIST Medical College Lalitpur Nepal.ORCID https://orcid.org/0009-0006-7156-7604
Shrijana BasyalNepal Army Institute of Health Sciences Kathmandu Nepal.ORCID https://orcid.org/0009-0001-1926-1564
Gul ZamanKhyber Teaching Hospital Peshawar Pakistan.ORCID https://orcid.org/0009-0001-6851-2649
Rohit ParajuliCollege of Medical Sciences Bhartpur Chitwan Nepal.ORCID https://orcid.org/0009-0005-0934-8956

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 35-year-old female presented with 5 days of fever, fatigue, and myalgia during the post-monsoon season at Damak Hospital, Jhapa, Nepal. Clinical examination revealed fever (102.7°F), tachycardia (110 bpm), and crackles in the right lower lung field. Laboratory investigations showed anemia (Hb 8.9 g%), leukopenia (3300/cumm), elevated liver enzymes (SGPT, 117 IU/L; SGOT, 94 IU/L; ALP, 391 U/L), and elevated CRP (18.58 mg/dL). ELISA testing demonstrated concurrent positivity for

Indexed as

acute febrile illnessbrucellosiscase reportdiagnostic challengescrub typhusserological cross‐reactivity

Identifiers

PMID42626096
PMCPMC13490712

What OpenQuestion holds

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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.