Polymyositis, COVID-19 and Rectal Carcinoma: A Rare Case Presentation
Bibliographic record
Abstract
Association of idiopathic inflammatory myopathies (IIMs) with malignancy has been well recognized for a long time. However, its association with coronavirus disease 2019 (COVID-19) which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus is rare. Here we report a case of a 73-year-old male under treatment for rectal carcinoma who was admitted for mild COVID-19. He developed progressive bilateral upper and lower limb weakness which was finally diagnosed as polymyositis. He was given high-dose steroid along with methotrexate to which he responded very well. This case highlights the fact that inflammatory myopathy should be suspected in elderly patients who present with generalized weakness especially in the background of malignancy. The association of COVID-19 with myositis needs further studies. Clin Infect Immun. 2024;9(1):20-24 doi: https://doi.org/10.14740/cii171
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.004 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.005 | 0.003 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
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".