Evidence map›Paper›PMID 27144125›Full record

ArticleIDCases2016

Nonencapsulated Streptococcus pneumoniae as a cause of chronic adenoiditis.

Cheshil Dixit, Lance E Keller, Jessica L Bradshaw, D Ashley Robinson, Edwin Swiatlo, Larry S McDaniel

Open access · goldAbstract readCase Reports
In one paragraph

Article in IDCases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. An abundance ofMicrobiology (Reading, England) · 2025
    Article
  3. Article
  4. Current research in microbial sciences · 2020
    Article
  5. Article
  6. Article
  7. Pulmonary Disease Associated With NonencapsulatedOpen forum infectious diseases · 2018
    Article
  8. The Role of Pneumococcal Virulence Factors in Ocular Infectious Diseases.Interdisciplinary perspectives on infectious diseases · 2018
    Review
  9. Article
  10. Article
  11. Article
  12. 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

6 authors at 1 institution in 1 country.

Cheshil DixitDepartment of Microbiology and Immunology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, United States.
Lance E KellerDepartment of Microbiology and Immunology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, United States.
Jessica L BradshawDepartment of Microbiology and Immunology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, United States.
D Ashley RobinsonDepartment of Microbiology and Immunology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, United States.
Edwin SwiatloDepartment of Microbiology and Immunology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, United States.
Larry S McDanielDepartment of Microbiology and Immunology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, United States.
State Street (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Streptococcus pneumoniae is an important human pathogen. To cause disease, it must first colonize the nasopharynx. The widespread use of pneumococcal-conjugate vaccines which target the capsular polysaccharide has led to decreased nasopharyngeal carriage of vaccine serotypes, but a concomitant increase in carriage of non-vaccine serotypes and nonencapsulated S. pneumoniae (NESp). Some NESp express pneumococcal surface protein K (PspK), a virulence factor shown to contribute to nasopharyngeal colonization. We present the case of a child with chronic adenoiditis caused by a PspK(+) NESp. We tested the pneumococcal isolate, designated C144.66, for antimicrobial resistance, the presence of the pspK gene and the expression of PspK. Sequence typing and genome sequencing were performed. C144.66 was found to be resistant to erythromycin and displayed intermediate resistance to penicillin and trimethoprim/sulfamethoxazole. C144.66 has the pspK gene in place of the capsule locus. Additionally, PspK expression was confirmed by flow cytometry. NESp are a growing concern as an emerging human pathogen, as current pneumococcal vaccines do not confer immunity against them. An inability to vaccinate against NESp may result in increased carriage and associated pathology.

Indexed as

Chronic adenoiditisNonencapsulated Streptococcus pneumoniae (NESp)Pneumococcal surface protein KStreptococcus pneumoniae

Identifiers

PMID27144125
PMCPMC4840421
OpenAlexW2338832821

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.