Evidence map›Paper›PMID 27605978›Full record

ArticleAfrican health sciences2016

Cerebro-meningeal infections in HIV-infected patients: a study of 116 cases in Libreville, Gabon.

Magloire Ondounda, Chinenye Ilozue, Caroline Magne

Open access · diamondAbstract read
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Article in African health sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
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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

3 authors at 1 institution in 1 country.

Magloire OndoundaDepartment of Infectious and Tropical Diseases, Hôpital d'Instruction des Armées Omar Bongo Ondimba, BP 20404 Libreville PK9, Gabon. magondounda@yahoo.fr.
Chinenye IlozueDepartment of Internal Medicine, Hôpital d'Instruction des Armées Omar Bongo Ondimba, BP 20404 Libreville PK9, Gabon. cilozue@doctors.org.uk.
Caroline MagneDepartment of Internal Medicine, Hôpital d'Instruction des Armées Omar Bongo Ondimba, BP 20404 Libreville PK9, Gabon. m2caroline@yahoo.fr.
Omar Bongo University · GA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebro-meningeal pathology is common in human immunodeficiency virus (HIV) infection and the aetiology is often difficult to ascertain with certainty.

objectiveTo describe the major suspected and identified causes of meningeal or encephalitic syndromes in HIV infection in Libreville, Gabon.

methodsA descriptive study using clinical records of patients hospitalised in the Department of Medicine in the Military Hospital of Libreville (Gabon) between January 2006 and May 2010. Clinical features were evaluated using multivariable logistic regression to evaluate association with the outcome of a clinical improvement or death.

resultsThe most frequent neurological symptoms were reduced level of consciousness (54.3%), headache (55.2%), motor deficit (38.7%), and convulsions (36.2%). Cerebral toxoplasmosis represented 64.7% of diagnoses, followed by cryptococcal neuromeningitis in 12.9% of cases. Tuberculoma was diagnosed in 4 cases and lymphoma in 2 cases. In 9.5% of cases, no aetiology was determined. Toxoplasmosis treatment led to clinical improvement in 69.3% of cases with suspected cerebral toxoplasmosis. Overall mortality was 39.7%.

conclusionThe diagnosis of neurological conditions in HIV positive patients is difficult, particularly in a low-resource setting. A trial of treatment for toxoplasmosis should be initiated first line with all signs of neurological pathology in a patient infected with HIV.

Indexed as

AdultAge DistributionComorbidityDatabases, FactualFemaleGabonHIV InfectionsHospitals, MilitaryHumansInfectious EncephalitisLogistic ModelsMaleMeningitis, ViralMiddle AgedMultivariate AnalysisOdds RatioCerebral lesionGabonHIVLibrevilleneuromeningitis

Identifiers

PMID27605978
PMCPMC4994563
OpenAlexW2470865910

What OpenQuestion holds

Textmetadata
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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.