Evidence map›Paper›PMID 28446137›Full record

ArticleBMC infectious diseases2017

Progressive cutaneous Cryptococcosis complicated with meningitis in a myasthenia gravis patient on long-term immunosuppressive therapy - a case report.

Nguyen Thi Cam Huong, Ahmed M A Altibi, Nguyen My Hoa, Le Anh Tuan, Samar Salman, Sara Morsy, Nguyen Thi Bich Lien, Nguyen Thanh Truong, Nguyen Thi Hoang Mai, Pham Thi Le Hoa and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2017. 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
0.3field-weighted citation impact, top 37% 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, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Cryptococcus neoformans, a global threat to human health.Infectious diseases of poverty · 2023
    Review
  4. 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

12 authors at 7 institutions in 3 countries.

Nguyen Thi Cam HuongDepartment of Infectious Diseases, University of Medicine and Pharmacy at Ho Chi Minh City , Ho Chi Minh city, Vietnam. camhuong37@yahoo.com.
Ahmed M A AltibiFaculty of Medicine, University of Jordan, Amman, Jordan.
Nguyen My HoaDepartment of Infectious Diseases, University of Medicine and Pharmacy at Ho Chi Minh City , Ho Chi Minh city, Vietnam.
Le Anh TuanDepartment of Infectious Diseases, University of Medicine and Pharmacy at Ho Chi Minh City , Ho Chi Minh city, Vietnam.
Samar SalmanDermatology and Venereology Department, Tanta University Hospital, Tanta, Egypt.
Sara MorsyBiochemistry Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Nguyen Thi Bich LienHo Chi Minh City Hospital of Dermatology-Venereology, Ho Chi Minh City, Vietnam.
Nguyen Thanh TruongThe Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Nguyen Thi Hoang MaiThe Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Pham Thi Le HoaDepartment of Infectious Diseases, University of Medicine and Pharmacy at Ho Chi Minh City , Ho Chi Minh city, Vietnam.
Nguyen Ba ThangDepartment of Neurology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Van The TrungDepartment of Dermatology, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam. vanthetrungdhyd@yahoo.com.
Ho Chi Minh City Medicine and Pharmacy University · VNHospital for Tropical Diseases · VNHCMC Hospital of Dermato Venereology · VNOxford University Clinical Research Unit · VNTanta University · EGTanta University Hospital · EGUniversity of Jordan · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCryptococcosis is an opportunistic infection caused by the encapsulated yeast Cryptococcus neoformans and most remarkably manifests in HIV-infected individuals, especially in the settings of very low CD4 count. Development of cryptococcosis in HIV-uninfected individuals is exceedingly rare and usually signifies a marked immunodeficiency. Cryptococcosis in association with myasthenia gravis or thymoma has been previously documented in only very few cases in the literature. CASE PRESENTATION: We reported a complicated case of severe cutaneous cryptococcosis in a 39-year-old Vietnamese male patient with myasthenia gravis on long-term immunosuppressive therapy. The patient presented with a five month history of recurrent and progressive skin lesions that later on progressed into cryptococcal meningitis.

conclusionThrough this case, we aimed to emphasize the importance of including cutaneous cryptococcosis in the differential diagnosis of cutaneous lesions in patients on chronic immunosuppressive therapy. The cutaneous manifestations of cryptococcosis can be the first clue for a disseminated disease, which makes early recognition crucial and life-saving.

Indexed as

AdultCryptococcosisCryptococcus neoformansDermatomycosesDiagnosis, DifferentialHumansImmunosuppressive AgentsMaleMeningitis, CryptococcalMyasthenia GravisOpportunistic InfectionsImmunosuppressive AgentsCryptococcusCryptococcus meningitisCutaneous CryptococcosisMyasthenia gravis

Identifiers

PMID28446137
PMCPMC5406963
OpenAlexW2608860719

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.