Evidence map›Paper›PMID 25317708›Full record

Observational studyMemorias do Instituto Oswaldo Cruz2014

Cryptococcosis in Colombian children and literature review.

Jairo Lizarazo, Patricia Escandón, Clara Inés Agudelo, Elizabeth Castañeda

Open access · diamondAbstract readObservational StudyReview
In one paragraph

Observational study in Memorias do Instituto Oswaldo Cruz, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% of its field
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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Neurological Sequelae After Paediatric Cryptococcal Meningitis.Journal of fungi (Basel, Switzerland) · 2025
    Review
  4. Journal of fungi (Basel, Switzerland) · 2022
    Article
  5. Journal of fungi (Basel, Switzerland) · 2021
    Review
  6. Associations betweenJournal of fungi (Basel, Switzerland) · 2021
    Review
  7. Observational
  8. Article
  9. Article
  10. Clonal Dispersal ofJournal of fungi (Basel, Switzerland) · 2019
    Article
  11. Article
  12. The status of cryptococcosis in Latin America.Memorias do Instituto Oswaldo Cruz · 2018
    Review
  13. Recognition and Clinical Presentation of Invasive Fungal Disease in Neonates and Children.Journal of the Pediatric Infectious Diseases Society · 2017
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Cryptococcal Disease in HIV-Infected Children.Current infectious disease reports · 2016
    Review
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

4 authors at 2 institutions in 1 country.

Jairo LizarazoHospital Universitario Erasmo Meoz, Cúcuta, Colombia.
Patricia EscandónInstituto Nacional de Salud, Bogotá, Colombia.
Clara Inés AgudeloInstituto Nacional de Salud, Bogotá, Colombia.
Elizabeth CastañedaInstituto Nacional de Salud, Bogotá, Colombia.
Instituto Nacional de Salud · COHospital Universitario de Santander · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cryptococcosis is reported in adults and is often acquired immune deficiency syndrome (AIDS)-associated; however, its frequency in children is low. Based on the National Survey on Cryptococcosis conducted in Colombia, an epidemiological and clinical analysis was performed on cases of the disease observed in children less than 16 years old between 1993-2010. We found 41 affected children (2.6% prevalence) from the 1,578 surveys received. The country mean annual incidence rate was 0.017 cases/100,000 children under 16 years, while in Norte de Santander the incidence rate was 0.122 cases/100,000 (p < 0.0001). The average age of infected children was 8.4 and 58.5% were male. In 46.3% of cases, a risk factor was not identified, while 24.4% had AIDS. The most frequent clinical manifestations were headache (78.1%), fever (68.8%), nausea and vomiting (65.6%), confusion (50%) and meningeal signs (37.5%). Meningitis was the most frequent clinical presentation (87.8%). Amphotericin B was given to 93.5% of patients as an initial treatment. Positive microbiological identification was accomplished by India ink (94.7%), latex in cerebrospinal fluid (100%) and culture (89.5%). Out of 34 isolates studied, Cryptococcus neoformans var. grubii (VNI 85.3%, VNII 8.8%) was isolated in 94.1% of cases and Cryptococcus gattii (VGII) was isolated in 5.9% of cases. These data are complemented by a literature review, which overall suggests that cryptococcosis in children is an unusual event worldwide.

Indexed as

AdolescentAntifungal AgentsChildChild, PreschoolCoinfectionColombiaCryptococcosisCryptococcusFemaleHIVHIV InfectionsHumansIncidenceInfantMaleMeningitis, CryptococcalAntifungal Agents

Identifiers

PMID25317708
PMCPMC4238773
OpenAlexW2139781198

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.