Evidence map›Paper›PMID 28835663›Full record

ArticleScientific reports2017

Choroid Plexitis and Ependymitis by Magnetic Resonance Imaging are Biomarkers of Neuronal Damage and Inflammation in HIV-negative Cryptococcal Meningoencephalitis.

Dima A Hammoud, Eman Mahdi, Anil A Panackal, Paul Wakim, Virginia Sheikh, Irini Sereti, Bibi Bielakova, John E Bennett, Peter R Williamson

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

22 citing papers in PubMed, 26 citations in OpenAlex.

  1. Radiology case reports · 2026
    Article
  2. Article
  3. Foxp3Research square · 2025
    Article
  4. Review
  5. Mechanisms and Virulence Factors ofJournal of fungi (Basel, Switzerland) · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Journal of fungi (Basel, Switzerland) · 2022
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Reply to Pan et al.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  15. Article
  16. Article
  17. Review
  18. A Multicenter, Longitudinal Cohort Study of Cryptococcosis in Human Immunodeficiency Virus-negative People in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  19. Clinical Aspects of Immune Damage in Cryptococcosis.Current fungal infection reports · 2019
    Article
  20. Audiologic and Otologic Complications of Cryptococcal Meningoencephalitis in Non-HIV Previously Healthy Patients.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2019
    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

9 authors at 5 institutions in 1 country.

Dima A HammoudCenter for Infectious Disease Imaging (CIDI), Radiology and Imaging Sciences, Clinical Center, National Institutes of Health (NIH), Bethesda, MD, USA. hammoudd@cc.nih.gov.
Eman MahdiDivision of Pediatric Radiology, Diagnostic Imaging and Radiology, Children's National Health System, Washington, DC, USA.
Anil A PanackalLaboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Paul WakimBiostatistics and Clinical Epidemiology Service, Clinical Center, National Institutes of Health (NIH), Bethesda, MD, USA.
Virginia SheikhDivision of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, MD, USA.
Irini SeretiDivision of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, MD, USA.
Bibi BielakovaNeuroimmunological Diseases Unit, Neuroimmunology Branch, National Institute of Neurological Diseases and Stroke (NINDS), NIH, Bethesda, MD, USA.
John E BennettLaboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Peter R WilliamsonLaboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
National Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USNational Institutes of Health Clinical Center · USChildren's National · USNational Institute of Neurological Disorders and Stroke · US

Funding

Translational Research: Host-Pathogen Interactions in Patient Fungal DiseasesZIAAI001124 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI WILLIAMSON, PETER · 2010 to 2025
$8.8M
Imaging of fungal infectionsZIACL090055 · CLC · CLINICAL CENTER · PI HAMMOUD, DIMA A · 2018 to 2025
$0k
6 · The paper itself

Abstract

CNS cryptococcal meningoencephalitis in both HIV positive (HIV+) and HIV negative (HIV-) subjects is associated with high morbidity and mortality despite optimal antifungal therapy. We thus conducted a detailed analysis of the MR imaging findings in 45 HIV- and 11 HIV+ patients to identify imaging findings associated with refractory disease. Ventricular abnormalities, namely ependymitis and choroid plexitis were seen in HIV- but not in HIV+ subjects. We then correlated the imaging findings in a subset of HIV- subjects (n = 17) to CSF levels of neurofilament light chain (NFL), reflective of axonal damage and sCD27, known to best predict the presence of intrathecal T-cell mediated inflammation. We found that ependymitis on brain MRI was the best predictor of higher log(sCD27) levels and choroid plexitis was the best predictor of higher log(NFL) levels. The availability of predictive imaging biomarkers of inflammation and neurological damage in HIV- subjects with CNS cryptococcosis may help gauge disease severity and guide the therapeutic approach in those patients.

Indexed as

Magnetic Resonance ImagingAdultBiomarkersBrainChoroid PlexusEpendymaFemaleHumansMaleMeningitis, CryptococcalMeningoencephalitisMiddle AgedNeuronsBiomarkers

Identifiers

PMID28835663
PMCPMC5569007
OpenAlexW2747524847

What OpenQuestion holds

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LicenceCC BY
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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.