Evidence map›Paper›PMID 25278580›Full record

ReviewClinical microbiology reviews2014

Cryptococcus gattii infections.

Sharon C-A Chen, Wieland Meyer, Tania C Sorrell

Abstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 229 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
229citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

229 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Molecular Architecture ofbioRxiv : the preprint server for biology · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. An Emerging Infectious Yeast to Watch:Journal of fungi (Basel, Switzerland) · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Neurological Sequelae After Paediatric Cryptococcal Meningitis.Journal of fungi (Basel, Switzerland) · 2025
    Review

169 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sharon C-A ChenMarie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Sydney, NSW, Australia Centre for Infectious Diseases and Microbiology, Westmead Millennium Institute, Westmead, NSW, Australia Western Clinical School, Sydney Medical School, University of Sydney, Westmead, NSW, Australia Institute of Clinical Microbiology and Medical Research, Westmead, NSW, Australia.
Wieland MeyerMarie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Sydney, NSW, Australia Centre for Infectious Diseases and Microbiology, Westmead Millennium Institute, Westmead, NSW, Australia Western Clinical School, Sydney Medical School, University of Sydney, Westmead, NSW, Australia Molecular Mycology Research Laboratory, Department of Infectious Diseases, Westmead Hospital, Western Sydney Local Health District, Westmead, NSW, Australia.
Tania C SorrellMarie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Sydney, NSW, Australia Centre for Infectious Diseases and Microbiology, Westmead Millennium Institute, Westmead, NSW, Australia Western Clinical School, Sydney Medical School, University of Sydney, Westmead, NSW, Australia tania.sorrell@sydney.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Understanding of the taxonomy and phylogeny of Cryptococcus gattii has been advanced by modern molecular techniques. C. gattii probably diverged from Cryptococcus neoformans between 16 million and 160 million years ago, depending on the dating methods applied, and maintains diversity by recombining in nature. South America is the likely source of the virulent C. gattii VGII molecular types that have emerged in North America. C. gattii shares major virulence determinants with C. neoformans, although genomic and transcriptomic studies revealed that despite similar genomes, the VGIIa and VGIIb subtypes employ very different transcriptional circuits and manifest differences in virulence phenotypes. Preliminary evidence suggests that C. gattii VGII causes severe lung disease and death without dissemination, whereas C. neoformans disseminates readily to the central nervous system (CNS) and causes death from meningoencephalitis. Overall, currently available data indicate that the C. gattii VGI, VGII, and VGIII molecular types more commonly affect nonimmunocompromised hosts, in contrast to VGIV. New, rapid, cheap diagnostic tests and imaging modalities are assisting early diagnosis and enabling better outcomes of cerebral cryptococcosis. Complications of CNS infection include increased intracranial pressure, severe neurological sequelae, and development of immune reconstitution syndrome, although the mortality rate is low. C. gattii VGII isolates may exhibit higher fluconazole MICs than other genotypes. Optimal therapeutic regimens are yet to be determined; in most cases, initial therapy with amphotericin B and 5-flucytosine is recommended.

Indexed as

AnimalsCryptococcosisCryptococcus gattiiHumans

Identifiers

PMID25278580
PMCPMC4187630

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.