A Case of Severe Human Granulocytic Anaplasmosis in an Immunocompromised Pregnant Patient
Bibliographic record
Abstract
Human granulocytic anaplasmosis (HGA) is a tick-borne disease that can often result in persistent fevers and other non-specific symptoms including myalgias, headache, and malaise. The incidence among endemic areas has been increasing, and clinician recognition of disease symptoms has aided in the correct diagnosis and treatment of patients who have been exposed. While there have been few cases reported of HGA disease during pregnancy, all patients have undergone a relatively mild disease course without complications. HGA may cause more severe disease in the elderly and immunocompromised. Herein, we report an unusual presentation and severe disease complications of HGA in a pregnant female who was concomitantly immunocompromised due to azathioprine treatment of her Crohn’s disease. Following successful treatment with rifampin, she subsequently delivered a healthy female infant without any disease sequelae. J Med Cases. 2015;6(6):282-284 doi: https://doi.org/10.14740/jmc811w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.004 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".