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The characteristics of patients with mycobacterium tuberculosis blood stream infections in Beijing, China: a retrospective study

Overview of attention for article published in BMC Infectious Diseases, December 2016
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Title
The characteristics of patients with mycobacterium tuberculosis blood stream infections in Beijing, China: a retrospective study
Published in
BMC Infectious Diseases, December 2016
DOI 10.1186/s12879-016-2084-z
Pubmed ID
Authors

Xiaoqing Liu, Sainan Bian, Yueqiu Zhang, Lifan Zhang, Qiwen Yang, Peng Wang, Yingchun Xu, Xiaochun Shi, Yao Zhang, Roy F. Chemaly

Abstract

Published information regarding the clinical characteristics, laboratory findings, and outcomes of patients with Mycobacterium tuberculosis (MTB) blood stream infection (BSI) is limited. We aimed in this study to evaluate the clinical characteristics, laboratory evaluation, and outcomes of patients with MTB BSI. All patients diagnosed with MTB BSI at Peking Union Medical College Hospital between January 2008 and May 2014 were identified by examining the electronic database listing results of all blood cultures. Data on demographics, clinical characteristics, laboratory manifestations, management, and outcomes were abstracted from medical records. Six thousand nine hundred seventy-four patients had mycobacterial blood cultures during the study period. Of 48 patients (0.7%) with MTB BSI, 26 patients (54%) were considered to be immunocompromised (refers to a person who has a significantly impaired immune system). This was due to human immunodeficiency virus (HIV) infection (n = 2 of 48 tested), receiving steroids (n = 17, including 16 with rheumatic diseases and one with myasthenia gravis), malignancy (n = 3), diabetes mellitus (n = 3), and renal transplantation (n = 1). The main clinical manifestations were fever (100%, with a median of 40 °C), weight loss (48%) and cough with sputum production (46%). Most patients had one or more organs involved (81%). The median time from onset of fever to diagnosis was 8 weeks (IQR 5 ~ 14). Six patients died within 1 week after diagnosis. Of the 17 patients completing treatment, 14 patients (82%) recovered without major complications and they had a shorter time interval between onsets of symptoms to treatment compared to those died of TB. In this group of patients with MTB BSI, fever and multiple organs involvement were common, the outcome was poor and timely diagnosis and treatment might favor outcome.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 45 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 45 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 8 18%
Student > Postgraduate 6 13%
Student > Master 6 13%
Professor 3 7%
Professor > Associate Professor 3 7%
Other 5 11%
Unknown 14 31%
Readers by discipline Count As %
Medicine and Dentistry 17 38%
Nursing and Health Professions 3 7%
Immunology and Microbiology 2 4%
Social Sciences 2 4%
Biochemistry, Genetics and Molecular Biology 1 2%
Other 0 0%
Unknown 20 44%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 December 2016.
All research outputs
#7,621,872
of 8,787,207 outputs
Outputs from BMC Infectious Diseases
#3,475
of 3,878 outputs
Outputs of similar age
#244,204
of 299,663 outputs
Outputs of similar age from BMC Infectious Diseases
#139
of 188 outputs
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