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Record W7108330906 · doi:10.7326/aimcc.2025.0760

Disseminated Cutaneous <i>Mycobacterium haemophilum</i> in a Patient Receiving Mycophenolate Mofetil: A Case Report

2025· article· en· W7108330906 on OpenAlexaffabout

Bibliographic record

VenueAnnals of Internal Medicine Clinical Cases · 2025
Typearticle
Languageen
FieldMedicine
TopicMycobacterium research and diagnosis
Canadian institutionsToronto General HospitalUniversity of Toronto
Fundersnot available
KeywordsImmunosuppressionRashMyasthenia gravisPresentation (obstetrics)Skin lesionMycophenolate

Abstract

fetched live from OpenAlex

Mycobacterium haemophilum is a slow-growing acid-fast bacillus that causes a broad spectrum of cutaneous lesions among infected patients. It usually presents in those who are immunocompromised. This case report describes an 81-year-old man taking mycophenolate mofetil immunosuppression for myasthenia gravis who was admitted to a Canadian tertiary care center presenting with atraumatic disseminated cutaneous M haemophilum. Diagnosis was delayed because a dermatomal rash distribution and positive mpox polymerase chain reaction invoked alternate diagnoses of possible herpes zoster and mpox. This report highlights a novel presentation of M haemophilum and the importance of timely identification among other possible and emerging cutaneous infections.

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)0.001
metaresearch head score (Gemma)0.035
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.114
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.035
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

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 head0.083
GPT teacher head0.443
Teacher spread0.360 · 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.

Study designCase report
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
Published2025
Admission routes2
Has abstractyes

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