Evidence map›Paper›PMID 27072009›Full record

ArticleJournal of medical case reports2016

A 33-year-old patient with human immunodeficiency virus on antiretroviral therapy with efavirenz-induced complex partial seizures: a case report.

Nathan Yakubu Shehu, Victor Ojeh, Godwin Osaigbovo, Patricia Agaba, Oche Agbaji

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
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

5 authors at 2 institutions in 1 country.

Nathan Yakubu ShehuJos University Teaching Hospital, Jos, Plateau State, Nigeria. nyshehu@yahoo.com.ORCID http://orcid.org/0000-0001-8802-4928
Victor OjehJos University Teaching Hospital, Jos, Plateau State, Nigeria.
Godwin OsaigbovoJos University Teaching Hospital, Jos, Plateau State, Nigeria.
Patricia AgabaJos University Teaching Hospital, Jos, Plateau State, Nigeria.
Oche AgbajiJos University Teaching Hospital, Jos, Plateau State, Nigeria.
Jos University Teaching Hospital · NGUniversity of Jos · NG

Funding

"Implementation of Programs for Prevention, Care and Treatment of HIV/AIDS in theU2GPS001058 · PS · AIDS PREVENTION INITIATIVE IN NIGERIA · PI OKONKWO, PROSPER IFEANACHO · 2008 to 2013
$83.4M
NCHHSTP CDC HHS PS 001058PHS HHS U51HA02522
6 · The paper itself

Abstract

backgroundEfavirenz is a commonly prescribed antiretroviral drug that is largely well tolerated. However, seizure disorder is a rare side effect. Prompt identification and immediate replacement of efavirenz with an alternative drug would effectively stop the seizures. To the best of our knowledge, we present the first reported case in the literature of complex partial seizures arising due to efavirenz. CASE PRESENTATION: We report a case of a 33-year-old Nigerian man treated with an efavirenz-based antiretroviral regimen for human immunodeficiency virus infection. He presented with seizures soon after commencement of antiretroviral drugs. His magnetic resonance imaging results were unremarkable. His blood levels of sodium, glucose, urea, and creatinine were within normal limits. However, his electroencephalogram showed intermittent bursts of high-voltage sharp waves and spikes bilaterally over frontotemporoparietal regions, a finding consistent with complex partial seizures. His efavirenz plasma level was 209.55 μg/ml. His seizures stopped following a switch to a non-efavirenz-based regimen.

conclusionsThis report brings to light the occurrence of complex partial seizures in patients on efavirenz. It also demonstrates the effective resolution of seizures when efavirenz treatment is replaced with a non-efavirenz-based regimen.

Indexed as

AdultAlkynesAntiretroviral Therapy, Highly ActiveBenzoxazinesCyclopropanesHIV InfectionsHumansMaleReverse Transcriptase InhibitorsSeizuresAlkynesBenzoxazinesCyclopropanesefavirenzReverse Transcriptase InhibitorsEfavirenzHIVSeizures

Identifiers

PMID27072009
PMCPMC4830054
OpenAlexW2318278245

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.