A Rare Presentation of Endocarditis in Adult-onset Still’s Disease in Diagnosis of Fever of Unknown Origin: Table 1.
Bibliographic record
Abstract
To the Editor: Adult-onset Still’s disease (AOSD) was first described by Bywaters in 1971, with descriptions of 14 patients1. Differentiation between microbial infections and rheumatic diseases such as AOSD remains difficult in many cases. Heart involvement in AOSD is uncommon and valvular involvement is extremely rare. We describe a case of AOSD in a 39-year-old woman who presented with fever, endocarditis, and hyperferritinemia. Our patient was admitted to the emergency service with fever and chest pain. One week before she had had a sore throat, so she was given amoxicillin-clavulanate 2 × 1000 mg/day for 1 week. On examination, tachycardia and apical 2/6 systolic murmur were detected. Cardiac enzymes were normal. Laboratory tests (Table 1) showed acute-phase inflammation and leukocytosis. Cardiomegaly was seen on chest radiography. Echocardiography (ECO) showed mitral stenosis, 1.7 cm pericardial effusion, second-degree mitral insufficiency, and second- and third-degree aortic insufficiency. She had a fever of 38.7°C, and blood cultures were obtained. In transesophageal ECO, 0.6 × 0.5-cm diameter vegetation on aortic valve was seen. The diagnosis was … Address correspondence to Dr. B.M. Ertugrul, Department of Infectious Diseases and Clinical Microbiology, University of Adnan Menderes, School of Medicine, 09100 Aydin, Turkey. E-mail: bertugrul{at}adu.edu.tr
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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 | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.008 | 0.004 |
| Insufficient payload (model declined to judge) | 0.004 | 0.002 |
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".