Evidence map›Paper›PMID 28329080›Full record

Trial reportThe Journal of infectious diseases2017

Differences in Immunologic Factors Among Patients Presenting with Altered Mental Status During Cryptococcal Meningitis.

Sarah Lofgren, Kathy H Hullsiek, Bozena M Morawski, Henry W Nabeta, Reuben Kiggundu, Kabanda Taseera, Abdu Musubire, Charlotte Schutz, Mahsa Abassi, Nathan C Bahr and 11 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. iScience · 2026
    Article
  3. Article
  4. Article
  5. Foxp3Research square · 2025
    Article
  6. The hypervirulent Type-1/Type-17 phenotype ofInfection and immunity · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Cryptococcal meningitis.Nature reviews. Disease primers · 2023
    Review
  14. Article
  15. Article
  16. Importance of Clinical Isolates inJournal of fungi (Basel, Switzerland) · 2023
    Review
  17. Cytomegalovirus viremia as a risk factor for mortality in HIV-associated cryptococcal and tuberculous meningitis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Article
  18. Article
  19. Article
  20. Observational
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

21 authors at 6 institutions in 3 countries.

Sarah LofgrenUniversity of Minnesota, Minneapolis, MN, USA.
Kathy H HullsiekUniversity of Minnesota, Minneapolis, MN, USA.
Bozena M MorawskiUniversity of Minnesota, Minneapolis, MN, USA.
Henry W NabetaInfectious Disease Institute, Makerere University, Kampala, Uganda.
Reuben KiggunduInfectious Disease Institute, Makerere University, Kampala, Uganda.
Kabanda TaseeraMbarara University of Science and Technology, Mbarara, Uganda.
Abdu MusubireInfectious Disease Institute, Makerere University, Kampala, Uganda.
Charlotte SchutzUniversity of Cape Town, Cape Town, South Africa.
Mahsa AbassiUniversity of Minnesota, Minneapolis, MN, USA.
Nathan C BahrUniversity of Minnesota, Minneapolis, MN, USA.
Lillian TugumeInfectious Disease Institute, Makerere University, Kampala, Uganda.
Conrad MuzooraMbarara University of Science and Technology, Mbarara, Uganda.
Darlisha A WilliamsUniversity of Minnesota, Minneapolis, MN, USA.
Melissa A RolfesUniversity of Minnesota, Minneapolis, MN, USA.
Sruti S VelamakanniUniversity of Minnesota, Minneapolis, MN, USA.
Radha RajasinghamUniversity of Minnesota, Minneapolis, MN, USA.
Graeme MeintjesUniversity of Cape Town, Cape Town, South Africa.
Joshua RheinUniversity of Minnesota, Minneapolis, MN, USA.
David B MeyaUniversity of Minnesota, Minneapolis, MN, USA.
David R BoulwareUniversity of Minnesota, Minneapolis, MN, USA.
COAT and ASTRO-CM Trial Teams
University of Minnesota System · USMakerere University · UGUniversity of Minnesota · USMbarara University of Science and Technology · UGUniversity of Cape Town · ZAUniversity of Kansas · US

Funding

Infectious Disease Training in Clinical InvestigationT32AI055433 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI David R Boulware · 2003 to 2026
$6.1M
Northern/Pacific Universities Global Health Research Training ConsortiumR25TW009345 · FIC · UNIVERSITY OF WASHINGTON · PI KOLARS, JOSEPH C., NERURKAR, VIVEK RAMCHANDRA · 2012 to 2016
$5.9M
Improving Outcomes of HIV-Associated Cryptococcosis in Resource-Limited SettingsK01TW010268 · FIC · UNIVERSITY OF MINNESOTA · PI RHEIN, JOSHUA R · 2016 to 2020
$703k
FIC NIH HHS K01 TW010268FIC NIH HHS R25 TW009345NIAID NIH HHS T32 AI055433
6 · The paper itself

Abstract

Altered mental status in cryptococcal meningitis results in poorer survival, but underlying causes of altered mentation are poorly understood. Within two clinical trials, we assessed risk factors for altered mental status (GCS score<15) considering baseline clinical characteristics, CSF cytokines/chemokines, and antiretroviral therapy. Among 326 enrolled participants, 97 (30%) had GCS<15 and these patients had lower median CSF cryptococcal antigen titers (P = .042) and CCL2 (P = .005) but higher opening pressures (320 vs. 269 mm H2O; P = .016), IL-10 (P = .044), and CCL3 (P = .008) compared with persons with GCS=15. Altered mental status may be associated with host immune response rather than Cryptococcus burden.

Indexed as

AdultAntifungal AgentsAntigens, FungalChemokine CCL3ChemokinesCryptococcus neoformansCytokinesFemaleHumansInterleukin-10MaleMeningitis, CryptococcalMental DisordersPilot ProjectsProportional Hazards ModelsProspective StudiesAntifungal AgentsAntigens, FungalCCL3 protein, humanChemokine CCL3ChemokinesCytokinesIL10 protein, humanInterleukin-10altered mental statusCryptococcal meningitiscytokines.HIVimmunology

Identifiers

PMID28329080
PMCPMC5388270
OpenAlexW2596341489

What OpenQuestion holds

Textmetadata
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.