Evidence map›Paper›PMID 27599471›Full record

SynthesisEmerging microbes & infections2016

Cryptococcal meningitis in systemic lupus erythematosus patients: pooled analysis and systematic review.

Wenjie Fang, Min Chen, Jia Liu, Ferry Hagen, Abdullah Ms, Al-Hatmi, Peilian Zhang, Yun Guo, Teun Boekhout, Danqi Deng and 3 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Emerging microbes & infections, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Pooled it
  2. The prevalence and mortality of cryptococcal meningitis in patients with autoimmune diseases: a systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Pooled it
  3. Review
  4. Article
  5. Review
  6. Puf4 -mediated oxidative stress virulence attenuation inFrontiers in cellular and infection microbiology · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. 'WhenTherapeutic advances in chronic disease · 2022
    Article
  11. A case of HIV negative cryptococcal meningitis with antiphospholipid syndrome.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Cerebral Lupus and Cryptococcal Meningitis in a Pregnant Woman.Journal of neurosciences in rural practice · 2020
    Article
  19. Article
  20. 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

13 authors.

Wenjie FangDepartment of Dermatology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.
Min ChenDepartment of Dermatology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.
Jia LiuDepartment of Dermatology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.
Ferry HagenDepartment of Medical Microbiology and Infectious Diseases, Canisius-Wilhelmina Hospital, Nijmegen 6532, The Netherlands.ORCID http://orcid.org/0000-0002-5622-1916
Abdullah MsDepartment of Dermatology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.
Al-HatmiDirectorate General of Health Services, Ministry of Health, Ibri Hospital, Ibri 515, Oman.
Peilian ZhangDepartment of Dermatology and Rheumatology, The Second Afflicted Hospital of Kunming Medical University, Kunming, Yunnan Province 650504, China.
Yun GuoDepartment of Dermatology and Rheumatology, The Second Afflicted Hospital of Kunming Medical University, Kunming, Yunnan Province 650504, China.
Teun BoekhoutDepartment of Dermatology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.
Danqi DengDepartment of Dermatology and Rheumatology, The Second Afflicted Hospital of Kunming Medical University, Kunming, Yunnan Province 650504, China.
Jianping XuDepartment of Biology, McMaster University, Hamilton L8S 4K1, Canada.
Weihua PanDepartment of Dermatology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.
Wanqing LiaoDepartment of Dermatology, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cryptococcal meningitis is an important fungal infection among systemic lupus erythematosus patients. We conducted a pooled analysis and systematic review to describe the epidemiological and clinical profile of cryptococcal meningitis in systemic lupus erythematosus patients. From two hospitals in China and nine literature databases, cases and prevalence data were collected for pooled analysis and meta-analysis, respectively. Categorical variables of cases were compared using a χ(2)-test on the statistical program of SAS. A multiple regression analysis was performed to ascertain independent predictors significantly correlated with prognosis. Meta-analysis was conducted by the statistical program of R. The prevalence of cryptococcal meningitis in systemic lupus erythematosus patients was 0.5%. Patients were predominantly females and adults. A prednisone equivalent of more than 30 mg/day before infection was associated with higher mortality (odds ratio (OR)=9.69 (1.54, 60.73)). In all, 36.8-38.9% patients showed low lupus activity when they developed the crytococcal infection. Moreover, 38.2% of the patients were misdiagnosed. The estimated case-fatality rate was 23.6%. Our results suggest that more emphasis should be placed to further understand lupus-related cryptococcal meningitis and to develop better prophylaxis and management strategies to combat this condition.

Indexed as

Age FactorsChinaFemaleHumansImmunosuppressive AgentsLupus Erythematosus, SystemicMaleMeningitis, CryptococcalMortalityPrednisonePrevalenceSex FactorsSurvival AnalysisImmunosuppressive AgentsPrednisone

Identifiers

PMID27599471
PMCPMC5113055

What OpenQuestion holds

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Registered trials

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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.