{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T17:08:13Z","timestamp":1725296893670},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T00:00:00Z","timestamp":1631577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T00:00:00Z","timestamp":1631577600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Infect Dis"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Granulomatosis with polyangiitis (GPA), also known as Wegener\u2019s granulomatosis, is an idiopathic systemic disease typically affecting the lungs, although other organs may also be involved.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 28-year-old male was admitted to Baqiyatallah university hospital in Teheran (Iran) after a 3-week history of fever and productive cough. The patient gradually developed fatigue, arthralgia, hematuria, nausea, vomiting, dyspnea, hemoptysis, weight loss, oliguria and then anuria. Chest-X-ray (CXR)\u00a0and computerized tomography scan revealed cavitating nodular opacities in the right lung lobe. Furthermore, plasma creatinine increased from 2.2 to 4\u00a0mg\/dl in a few days. Histopathological examination of kidney biopsy revealed peri-glomerular and peri-vascular inflammation, degeneration and necrosis of the\u00a0tubular epithelial lining, red blood cell casts, distorted glomerular structure, fibrin thrombi, segmental breaks of the\u00a0glomerular basal membrane, disruption of Bowman's capsular membrane and crescent formation\u00a0of the affected glomeruli. An abnormal CXR, an abnormal urinary sediment and a typical kidney histology were used\u00a0as criteria\u00a0to diagnose glomerulonefritis with poliangiitis\u00a0(GPA).\u00a0Bronchoalveolar lavage smear and PCR turned out positive for mycobacterium tuberculosis. After 3\u00a0months of treatment for (GPA) and tuberculosis\u00a0the patient developed headache and seizure. Cerebral Magnetic Resonance Venography revealed cerebral venous thrombosis of the sinus transverse and sigmoid.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Tuberculosis\u00a0may coexist with GPA, as it occurred in our patient. Since a crescentic glomerulonephritis can progress to renal failure, clinicians should always be aware of potential multiple conditions when considering differential diagnoses.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12879-021-06583-w","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T13:03:06Z","timestamp":1631624586000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A rare case of coexistence of Wegener\u2019s granulomatosis and pulmonary tuberculosis with subsequent development of thrombosis of the cerebral veins"],"prefix":"10.1186","volume":"21","author":[{"given":"Zohreh","family":"Rostami","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Cegolon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nematollah Jonaidi","family":"Jafari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasrin","family":"Gholami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Vahid","family":"Mousavi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fakhri","family":"Allahyari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atena","family":"Azami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Javanbakht","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,9,14]]},"reference":[{"issue":"2","key":"6583_CR1","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1177\/0394632015617063","volume":"29","author":"A Greco","year":"2016","unstructured":"Greco A, Marinelli C, Fusconi M, Macri GF, Gallo A, De Virgilio A, et al. Clinic manifestations in granulomatosis with polyangiitis. Int J Immunopathol Pharmacol. 2016;29(2):151\u20139.","journal-title":"Int J Immunopathol Pharmacol"},{"key":"6583_CR2","first-page":"7812875","volume":"2016","author":"H Takeuchi","year":"2016","unstructured":"Takeuchi H, Kuroda I, Takizawa I, Aoyagi T, Tachibana M. Granulomatosis with polyangiitis (Wegener\u2019s Granulomatosis) accompanied by dysuria. Case Rep Urol. 2016;2016:7812875.","journal-title":"Case Rep Urol"},{"issue":"4","key":"6583_CR3","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1080\/08998280.2006.11928198","volume":"19","author":"N Graves","year":"2006","unstructured":"Graves N. Wegener granulomatosis. Proc (Bayl Univ Med Cent). 2006;19(4):342\u20134.","journal-title":"Proc (Bayl Univ Med Cent)."},{"issue":"4","key":"6583_CR4","first-page":"189","volume":"2","author":"MS Said","year":"2010","unstructured":"Said MS. Upper respiratory tract symptoms, renal involvement and vasculitis: a case report and review of Wegener granulomatosis. J Clin Med Res. 2010;2(4):189\u201393.","journal-title":"J Clin Med Res"},{"issue":"1","key":"6583_CR5","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1002\/art.1780390112","volume":"39","author":"MG Cotch","year":"1996","unstructured":"Cotch MG, Hoffman GS, Yerg DE, Kaufman GI, Targonski P, Kaslow RA. The epidemiology of Wegener\u2019s granulomatosis. Estimates of the five-year period prevalence, annual mortality, and geographic disease distribution from population-based data sources. Artritis Rheum. 1996;39(1):87\u201392.","journal-title":"Artritis Rheum."},{"issue":"4","key":"6583_CR6","first-page":"589","volume":"56","author":"FA Pearce","year":"2017","unstructured":"Pearce FA, Grainge MJ, Lanyon PC, Watts RA, Hubbard RB. The incidence, prevalence and mortality of granulomatosis with polyangiitis in the UK Clinical Practice Research Datalink. Rheumatol. 2017;56(4):589\u201396.","journal-title":"Rheumatol"},{"key":"6583_CR7","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.12688\/f1000research.14626.1","volume":"7","author":"M Prendecki","year":"2018","unstructured":"Prendecki M, Pusey CD. Recent advances in understanding of the pathogenesis of ANCA-associated vasculitis. F1000Res. 2018;7:1113.","journal-title":"F1000Res"},{"issue":"4","key":"6583_CR8","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1007\/s00281-014-0436-6","volume":"36","author":"EF McKinney","year":"2014","unstructured":"McKinney EF, Willcocks LC, Broecker V, Smith KG. The immunopathology of ANCA-associated vasculitis. Semin Immunopathol. 2014;36(4):461\u201378.","journal-title":"Semin Immunopathol"},{"issue":"10","key":"6583_CR9","doi-asserted-by":"publisher","first-page":"1680","DOI":"10.2215\/CJN.02500317","volume":"12","author":"JC Jennette","year":"2017","unstructured":"Jennette JC, Nachman PH. ANCA glomerulonephritis and vasculitis. Clin J Am Soc Nephrol. 2017;12(10):1680\u201391.","journal-title":"Clin J Am Soc Nephrol"},{"key":"6583_CR10","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/1075659","author":"R Kunjal","year":"2016","unstructured":"Kunjal R, Makary R, Poenariu A. Granulomatosis with polyangiitis presenting as pauci-immune crescentic glomerulonephritis in pregnancy. Case Rep Nephrol. 2016. https:\/\/doi.org\/10.1155\/2016\/1075659.","journal-title":"Case Rep Nephrol."},{"issue":"4","key":"6583_CR11","doi-asserted-by":"publisher","first-page":"161","DOI":"10.4046\/trd.2014.77.4.161","volume":"77","author":"CK Park","year":"2014","unstructured":"Park CK, Kwon YS. Respiratory review of 2014: tuberculosis and nontuberculous mycobacterial pulmonary disease. Tuberc Respir Dis (Seoul). 2014;77(4):161\u20136.","journal-title":"Tuberc Respir Dis (Seoul)."},{"key":"6583_CR12","doi-asserted-by":"publisher","DOI":"10.1128\/microbiolspec.TNMI7-0009-2016","author":"SK Jindal","year":"2016","unstructured":"Jindal SK, Jindal A, Agarwal R. Upper respiratory tract tuberculosis. Microbiol Spectr. 2016. https:\/\/doi.org\/10.1128\/microbiolspec.TNMI7-0009-2016.","journal-title":"Microbiol Spectr."},{"key":"6583_CR13","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1016\/j.jaut.2014.01.028","volume":"48\u201349","author":"PMK Latulo","year":"2014","unstructured":"Latulo PMK, D\u2019Cruz DP. Diagnosis and classification of granulomatosis with polyangiitis (aka Wegener\u2019s granulomatosis). J Autoimmun. 2014;48\u201349:94\u20138.","journal-title":"J Autoimmun"},{"issue":"11","key":"6583_CR14","volume":"11","author":"AA Razmjou","year":"2019","unstructured":"Razmjou AA, Seo YJ, Ayoub MF, Zuckerman J, Patel S. Case of granulomatosis with polyangiitis: consequences of delayed diagnosis in a life-threatening malady. Cureus. 2019;11(11): e6182.","journal-title":"Cureus."},{"key":"6583_CR15","unstructured":"Merkel PA, Kaplan AA, Falk RJF. Uptodate\u2014Granulomatosis with polyangiitis and microscopic polyangiitis: induction and maintenance therapy. https:\/\/www.uptodate.com\/contents\/granulomatosis-with-polyangiitis-and-microscopic-polyangiitis-induction-and-maintenance-therapy. Accessed 2 July 2021."},{"key":"6583_CR16","doi-asserted-by":"publisher","first-page":"3297","DOI":"10.1007\/s10067-019-04693-0","volume":"38","author":"J Fijolek","year":"2019","unstructured":"Fijolek J, Wiatr E, Petroniec V, Augustynowicz-Kopec E, Bednarek M, Gawryluk D. Antineutrophil cytoplasmic antibodies and their relationship with disease activity and presence of staphylococcal superantigens in nasal swabs in patients having granulomatosis with polyangiitis: results of a study involving 115 patients from a single center. Clin Rheumatol. 2019;38:3297\u2013305.","journal-title":"Clin Rheumatol"},{"key":"6583_CR17","first-page":"213","volume":"137","author":"LM Kahana","year":"1987","unstructured":"Kahana LM. Toxic ocular effect of ethambutol. Can Med Assoc J. 1987;137:213\u20136.","journal-title":"Can Med Assoc J"},{"key":"6583_CR18","doi-asserted-by":"publisher","first-page":"737","DOI":"10.1136\/thx.41.10.737","volume":"41","author":"KM Citron","year":"1986","unstructured":"Citron KM. Ocular toxicity from ethambutol. Throrax. 1986;41:737\u20139.","journal-title":"Throrax"},{"key":"6583_CR19","unstructured":"Centre for Disease Control and Prevention. Treatment of Tuberculosis\u2014American Thoracic Society, CDC, and Infectious Diseases Society of America. 2003; 52(RR11): 1\u201377. https:\/\/www.cdc.gov\/mmwr\/pdf\/rr\/rr5211.pdf. Accessed 29 Jun 2021."},{"issue":"147","key":"6583_CR20","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0077-2017","volume":"27","author":"S Ravimohan","year":"2018","unstructured":"Ravimohan S, Kornfeld H, Weissman D, Bisson GP. Tuberculosis and lung damage: from epidemiology to pathophysiology. Eur Respir Rev. 2018;27(147): 170077.","journal-title":"Eur Respir Rev"},{"issue":"1","key":"6583_CR21","first-page":"63","volume":"45","author":"EL Sproson","year":"2007","unstructured":"Sproson EL, Jones NS, Al-Deiri M, Lanyon P. Lessons learnt in the management of Wegener\u2019s granulomatosis: long-term follow-up of 60 patients. Rhinology. 2007;45(1):63\u20137.","journal-title":"Rhinology"},{"issue":"12","key":"6583_CR22","doi-asserted-by":"publisher","first-page":"925","DOI":"10.7326\/0003-4819-123-12-199512150-00005","volume":"123","author":"JK Rao","year":"1995","unstructured":"Rao JK, Weinberger M, Oddone EZ, Allen NB, Landsman P, Feussner JR. The role of antineutrophil cytoplasmic antibody (c-ANCA) testing in the diagnosis of Wegener granulomatosis. A literature review and meta-analysis. Ann Intern Med. 1995;123(12):925\u201332.","journal-title":"Ann Intern Med"},{"key":"6583_CR23","first-page":"731","volume":"51","author":"GC Khilnani","year":"2003","unstructured":"Khilnani GC, Banga A, Sharma SC, Gupta SD. Wegener\u2019s granulomatosis: an isolated lung mass responding to antituberculosis therapy and atypical course. J Assoc Phys India. 2003;51:731\u20133.","journal-title":"J Assoc Phys India"},{"key":"6583_CR24","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1038\/modpathol.3880516","volume":"15","author":"AA Gal","year":"2002","unstructured":"Gal AA, Velasquez A. Antineutrophil Cytoplasmic Autoantibody in the Absence of Wegener\u2019s Granulomatosis or Microscopic Polyangiitis: Implications for the Surgical Pathologist. Modern Pathol. 2002;15:197\u2013204.","journal-title":"Modern Pathol"},{"key":"6583_CR25","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1007\/s00296-012-2487-0","volume":"33","author":"O Elkayam","year":"2013","unstructured":"Elkayam O, Bendayan D, Segal R, Shapira Y, Gilburd B, Reuter S, et al. The effect of anti-tuberculosis treatment on levels of anti-phospholipid and anti-neutrophil cytoplasmatic antibodies in patients with active tuberculosis. Rheumatol Int. 2013;33:949\u201353.","journal-title":"Rheumatol Int"},{"issue":"2","key":"6583_CR26","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1093\/rheumatology\/keg066","volume":"42","author":"LF Flores-Su\u00e1rez","year":"2003","unstructured":"Flores-Su\u00e1rez LF, Cabiedes J, Villa AR, van der Woude FJ, Alcocer-Varela J. Prevalence of antineutrophil cytoplasmic autoantibodies in patients with tuberculosis. Rheumatology (Oxford). 2003;42(2):223\u20139.","journal-title":"Rheumatology (Oxford)"},{"key":"6583_CR27","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1016\/S0272-6386(88)80079-9","volume":"11","author":"WG Couser","year":"1988","unstructured":"Couser WG. Rapidly progressive glomerulonephritis: classification, pathogenetic mechanisms, and therapy. Am J Kidney Dis. 1988;11:449\u201364.","journal-title":"Am J Kidney Dis"},{"key":"6583_CR28","doi-asserted-by":"publisher","first-page":"S33","DOI":"10.1046\/j.1523-1755.1999.07005.x","volume":"70","author":"KK Jindal","year":"1999","unstructured":"Jindal KK. Management of idiopathic crescentic and diffuse proliferative glomerulonephritis: evidence-based recommendations. Kidney Int. 1999;70:S33\u201340.","journal-title":"Kidney Int"},{"key":"6583_CR29","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-221948","volume":"2018","author":"JO Oxland","year":"2018","unstructured":"Oxland JO, Ensor J, Freercks R. Tuberculosis and pauci-immune crescentic glomerulonephritis. BMJ Case Rep. 2018;2018: bcr2017221948.","journal-title":"BMJ Case Rep"},{"issue":"6","key":"6583_CR30","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1016\/j.kjms.2012.10.008","volume":"29","author":"Y Solak","year":"2013","unstructured":"Solak Y, Gaipov A, Anil M, Atalay H, Ozbek O, Turkmen K, Polat I, Turk S. Glomerulonephritis associated with tuberculosis: a case report and literature review. Kaohsiung J Med Sci. 2013;29(6):337\u201342.","journal-title":"Kaohsiung J Med Sci"},{"issue":"643","key":"6583_CR31","first-page":"e9","volume":"120","author":"JD Finkielman","year":"2007","unstructured":"Finkielman JD, Lee AS, Hummel AM, et al. ANCA are detectable in nearly all patients with active severe Wegener\u2019s granulomatosis. Am J Med. 2007;120(643):e9-643.e14.","journal-title":"Am J Med"},{"issue":"3B","key":"6583_CR32","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1590\/S0004-282X2005000500025","volume":"63","author":"JA Fiorot J\u00fanior","year":"2005","unstructured":"Fiorot J\u00fanior JA, Fel\u00edcio AC, Fukujima MM, Rodrigues CA, Morelli VM, Louren\u00e7o DM. Tuberculosis: an uncommon cause of cerebral venous thrombosis? Arq Neuropsiquiatr. 2005;63(3B):852\u20134.","journal-title":"Arq Neuropsiquiatr"},{"key":"6583_CR33","doi-asserted-by":"publisher","DOI":"10.5402\/2011\/608942","volume":"2011","author":"SA Just","year":"2011","unstructured":"Just SA, Knudsen JB, Nielsen MK, Junker P. Wegener\u2019s granulomatosis presenting with pachymeningitis: clinical and imaging remission by rituximab. ISRN Rheumatol. 2011;2011: 608942.","journal-title":"ISRN Rheumatol."},{"issue":"4","key":"6583_CR34","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1136\/ard.2008.099051","volume":"68","author":"Y Allenbach","year":"2009","unstructured":"Allenbach Y, Seror R, Pagnoux C, Teixeira L, Guilpain P, Guillevin L, et al. High frequency of venous thromboembolic events in Churg-Strauss syndrome, Wegener\u2019s granulomatosis and microscopic polyangiitis but not polyarteritis nodosa: a systematic retrospective study on 1130 patients. Ann Rheum Dis. 2009;68(4):564\u20137.","journal-title":"Ann Rheum Dis"},{"key":"6583_CR35","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1136\/practneurol-2019-002415","volume":"20","author":"L Ulivi","year":"2020","unstructured":"Ulivi L, Squitieri M, Cohen H, Cowley P, Werring DJ. Cerebral venous thrombosis: a practical guide. Pract Neurol. 2020;20:356\u201367.","journal-title":"Pract Neurol"},{"key":"6583_CR36","first-page":"91","volume":"26","author":"Y Raru","year":"2018","unstructured":"Raru Y, Abouzid M, Zeid F, Teka S. Pulmonary vein thrombosis secondary to tuberculosis in a non-HIV infected patient. Respir Med Case Rep. 2018;26:91\u20133.","journal-title":"Respir Med Case Rep"},{"key":"6583_CR37","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1159\/000091188","volume":"73","author":"M Ambrosetti","year":"2006","unstructured":"Ambrosetti M, Ferrarese M, Codecasa LR, Besozzi G, Sarassi A, Viggiani P, AIPO\/SMIRA TB Study Group. Incidence of venous thromboembolism in tuberculosis patients. Respiration. 2006;73:396.","journal-title":"Respiration"},{"key":"6583_CR38","doi-asserted-by":"publisher","first-page":"1714","DOI":"10.1136\/bjo.2007.114777","volume":"91","author":"DG Fullerton","year":"2007","unstructured":"Fullerton DG, Shrivastava A, Munavvar M, Jain S, Howells J, Macdowall P. Pulmonary tuberculosis presenting with central retinal vein occlusion. Br J Ophthalmol. 2007;91:1714\u20135.","journal-title":"Br J Ophthalmol"},{"key":"6583_CR39","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1159\/000186268","volume":"57","author":"B Sope\u00f1a","year":"1991","unstructured":"Sope\u00f1a B, Sobrado J, Javier P\u00e9rez A, Oliver J, Courel M, Palomares L, et al. Rapidly progressive glomerulonephritis and pulmonary tuberculosis. Nephron. 1991;57:251\u20132.","journal-title":"Nephron"},{"key":"6583_CR40","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1097\/01.cpm.0000181642.91898.6e","volume":"12","author":"C Fofi","year":"2005","unstructured":"Fofi C, Cherubini CH, Barbera G, Nicoletti MCD, Di Giulio S. Extracapillary IgA nephropathy and pulmonary tuberculosis. Clin Pulm Med. 2005;12:305\u20138.","journal-title":"Clin Pulm Med"}],"container-title":["BMC Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12879-021-06583-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12879-021-06583-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12879-021-06583-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T13:04:53Z","timestamp":1631624693000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcinfectdis.biomedcentral.com\/articles\/10.1186\/s12879-021-06583-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,14]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["6583"],"URL":"https:\/\/doi.org\/10.1186\/s12879-021-06583-w","relation":{},"ISSN":["1471-2334"],"issn-type":[{"value":"1471-2334","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,14]]},"assertion":[{"value":"8 February 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 August 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 September 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This case report has been described in accordance with the ethical standards laid down in the \u201cDeclaration of Helsinki 1964\u201d.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent for publication of case report was obtained from the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"None to declare.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"948"}}