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Misdiagnosed murine typhus in a patient with multiple cerebral infarctions and hemorrhage: a case report

Overview of attention for article published in BMC Neurology, July 2015
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Title
Misdiagnosed murine typhus in a patient with multiple cerebral infarctions and hemorrhage: a case report
Published in
BMC Neurology, July 2015
DOI 10.1186/s12883-015-0383-4
Pubmed ID
Authors

Ziqi Xu, Xiongchao Zhu, Qunying Lu, Xia Li, Yewen Hu

Abstract

Rickettsias cause a wide spectrum of tick-, flea-, or mite-borne infections. Rickettsial infections have no classical manifestations and can often lead to encephalitis, which can be fatal if improperly diagnosed. A 74-year-old male farmer was admitted to the hospital with fevers and a headache that had lasted for 10 days, followed by 4 days of unconsciousness, and his condition continued to deteriorate. Images showed multiple acute lesions in the brain stem, and bilateral cerebral and cerebellar hemispheres. He was finally diagnosed with endemic typhus and treated with antibiotics that resulted in improvement. The present report describes a patient with a rickettsial infection and subsequent deterioration to coma because of an initial misdiagnosis. Because of the similarity to other infectious diseases, physicians should be more vigilant towards the history and radiologic results to ensure early detection and avoid complications which may prove to be fatal.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 31 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 31 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 6 19%
Student > Master 4 13%
Student > Bachelor 3 10%
Student > Ph. D. Student 3 10%
Other 2 6%
Other 4 13%
Unknown 9 29%
Readers by discipline Count As %
Medicine and Dentistry 14 45%
Immunology and Microbiology 2 6%
Veterinary Science and Veterinary Medicine 1 3%
Agricultural and Biological Sciences 1 3%
Neuroscience 1 3%
Other 1 3%
Unknown 11 35%
Attention Score in Context

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 31 July 2015.
All research outputs
#20,284,384
of 22,818,766 outputs
Outputs from BMC Neurology
#2,139
of 2,435 outputs
Outputs of similar age
#219,839
of 263,145 outputs
Outputs of similar age from BMC Neurology
#50
of 58 outputs
Altmetric has tracked 22,818,766 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,435 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.7. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 263,145 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 58 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.