Evidence map›Paper›PMID 26083736›Full record

ArticlePloS one2015

A Clinical Study of Acquired Immunodeficiency Syndrome Associated Penicillium Marneffei Infection from a Non-Endemic Area in China.

Jinding Zheng, Xien Gui, Qian Cao, Rongrong Yang, Yajun Yan, Liping Deng, Jonathan Lio

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
2.7field-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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

Jinding ZhengDepartment of Infectious Diseases, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Xien GuiDepartment of Infectious Diseases, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Qian CaoDepartment of Infectious Diseases, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Rongrong YangDepartment of Infectious Diseases, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Yajun YanDepartment of Infectious Diseases, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Liping DengDepartment of Infectious Diseases, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Jonathan LioDepartment of Medicine, University of Chicago, Chicago, Illinois, United States of America.
Zhongnan Hospital of Wuhan University · CNUniversity of Chicago · USWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the clinical characteristics, diagnosis, treatment and prognosis of penicilliosis among the patients with acquired immunodeficiency syndrome (AIDS) in non-endemic areas of China, and then to discuss its incubation period and the diagnostic performance of serum galactomannan test for penicilliosis.

methodsMedical records and travel histories of penicilliosis patients in Zhongnan hospital from January 2006 to December 2013, and the interval from when the patients left the endemic area to the onset of the disease was analyzed. Serum galactomannan levels of penicilliosis patients and AIDS patients with fever were measured by the Platelia Aspergillus Enzyme Immunoassay Kit.

resultsA total of 47 AIDS-associated penicilliosis were confirmed by fungal culture, which accounted for 4.8% of 981 AIDS-related admissions. The sensitivity and specificity of serum galactomannan test for penicilliosis were 95.8% (23/24) and 90.9% (30/33), respectively, (cutoff index = 1.0). Two independent predictors for early mortality (death within 12 weeks) of the patients (21.3%, 10/47) were a delayed diagnosis and no treatment with antifungal therapy. Among 14 patients who became ill after leaving endemic areas, ten patients presented with the onset symptoms within 12 months (from 11 days to 360 days). We found a patient living with asymptomatic P. marneffei fungemia who had not received any antifungal therapy until 18 months' follow up.

conclusionsThe co-infection of P. marneffei and HIV was not uncommon in the non-endemic areas of penicilliosis in China. There exists a latent form of infection for P. marneffei. The incubation period of penicilliosis may be quite different from one patient to another. In AIDS patients, the serum galactomannan test has utility for the diagnosis of penicilliosis. When patients with penicilliosis/AIDS were diagnosed early and treated with standardized antifungal therapy and combined antiretroviral therapy, their prognosis improved.

Indexed as

Acquired Immunodeficiency SyndromeAdultAIDS-Related Opportunistic InfectionsAntifungal AgentsChinaCoinfectionFemaleGalactoseHIVHumansMaleMannansMycosesPenicilliumPrevalenceYoung AdultAntifungal AgentsgalactomannanGalactoseMannans

Identifiers

PMID26083736
PMCPMC4471200
OpenAlexW594821081

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.