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Record W2616337382 · doi:10.1111/bjh.14756

Incidental finding of recent parvovirus infection

2017· article· en· W2616337382 on OpenAlexaff
Elaine Leung, Eileen McBride

Bibliographic record

VenueBritish Journal of Haematology · 2017
Typearticle
Languageen
FieldMedicine
TopicParvovirus B19 Infection Studies
Canadian institutionsChildren's Hospital of Eastern Ontario
Fundersnot available
KeywordsParvovirusMedicineBone marrowAsymptomaticPathologyErythropoiesisBone marrow examinationPlateletSerologyIneffective erythropoiesisImmunologyAnemiaGastroenterologyInternal medicineVirus

Abstract

fetched live from OpenAlex

A 6-year-old girl, who was being followed for autoimmune thrombocytopenia, underwent a bone marrow evaluation as part of a routine work-up of thrombocytopenia persisting for more than six months. Physical examination was normal. Peripheral blood count showed: leucocyte count 8·9 × 109/l, haemoglobin concentration 120 g/l, platelet count 46 × 109/l and reticulocyte count 4·7 × 109/l (normal range 22–92 × 109/l). A peripheral blood film showed isolated thrombocytopenia and rare giant platelets. The bone marrow aspirate showed normal cellularity, with mildly increased numbers of unremarkable megakaryocytes. The most significant finding was the almost complete absence of erythroid progenitors. Pronormoblasts were present and had large nuclear inclusions and dissolving nuclear membranes (images, ×40 and × 100 objectives). Conventional cytogenetic analysis showed a normal female karyotype. Based on the bone marrow findings, the patient was evaluated for recent parvovirus B19 infection. On further questioning, a consistent history was elicited with the classic signs of “slapped cheeks” and a diffuse rash. Parvovirus IgM serology was positive, indicating a recent infection. The child had no clinical signs or symptoms of anaemia. Parvovirus B19 is a common childhood infection, with most children manifesting only the cutaneous findings. However, in an individual with shortened red cell lifespan, infection can lead to significant anaemia. The incidental finding of severe erythroid hypoplasia on this bone marrow examination illustrates that a host may be completely asymptomatic despite a significant effect on intramedullary erythropoiesis.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.391
Threshold uncertainty score0.402

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.071
GPT teacher head0.374
Teacher spread0.303 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2017
Admission routes1
Has abstractyes

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