Evidence map›Paper›PMID 30288678›Full record

ArticleInfection2018

Non-granulomatous cerebellar infection by Acanthamoeba spp. in an immunocompetent host.

Sara Modica, Clelia Miracco, Maria Grazia Cusi, Giacinta Tordini, Vitaliano Francesco Muzii, Francesco Iacoangeli, Claudia Nocentini, Ibne Karim M Ali, Shantanu Roy, Alfonso Cerase and 3 more

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In one paragraph

Article in Infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
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  6. Immunopathogenicity ofInternational journal of molecular sciences · 2021
    Review
  7. 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 at 3 institutions in 2 countries.

Sara ModicaHospital Department of Specialized and Internal Medicine, Infectious Diseases Unit, University Hospital of Siena, Siena, Italy.
Clelia MiraccoPathological Anatomy Division, Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy.
Maria Grazia CusiHospital Department of Emergency Urgency and Diagnostic Services, Microbiology and Virology Unit, University Hospital of Siena, Siena, Italy.
Giacinta TordiniHospital Department of Emergency Urgency and Diagnostic Services, Microbiology and Virology Unit, University Hospital of Siena, Siena, Italy.
Vitaliano Francesco MuziiDepartment of Medicine, Surgery and Neurosciences, Section of Neurosurgery, University of Siena, Siena, Italy.
Francesco IacoangeliDepartment of Medicine, Surgery and Neurosciences, Section of Neurosurgery, University of Siena, Siena, Italy.
Claudia NocentiniRadiology Unit, "Santa Maria la Gruccia" Hospital, Montevarchi (AR), Italy.
Ibne Karim M AliFree-Living and Intestinal Amebas (FLIA) Lab, Waterborne Disease Prevention Branch Centers for Disease Control and Prevention, Atlanta, GA, USA.
Shantanu RoyFree-Living and Intestinal Amebas (FLIA) Lab, Waterborne Disease Prevention Branch Centers for Disease Control and Prevention, Atlanta, GA, USA.
Alfonso CeraseDepartment of Neurological and Sensorineural Sciences, Neuroimaging and Neurointervention Unit, University Hospital of Siena, Siena, Italy.
Giacomo ZanelliHospital Department of Specialized and Internal Medicine, Infectious Diseases Unit, University Hospital of Siena, Siena, Italy.
Andrea De LucaHospital Department of Specialized and Internal Medicine, Infectious Diseases Unit, University Hospital of Siena, Siena, Italy.
Francesca MontagnaniHospital Department of Specialized and Internal Medicine, Infectious Diseases Unit, University Hospital of Siena, Siena, Italy. francesca.montagnani@unisi.it.ORCID http://orcid.org/0000-0002-2267-1337
University of Siena · ITCenters for Disease Control and Prevention · USSanta Maria Nuova Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acanthamoeba spp. is a free-living amoeba, frequently involved in keratitis by contact lens in immunocompetent hosts. Anecdotal reports associate Acanthamoeba spp. as a cause of severe granulomatous encephalitis in immunocompromised and, less frequently, in immunocompetent subjects. Data regarding clinical and therapeutic management are scanty and no defined therapeutic guidelines are available. We describe an unusual case of non-granulomatous Acanthamoeba cerebellitis in an immunocompetent adult male, with abrupt onset of neurological impairment, subtle hemorrhagic infarction at magnetic resonance imaging, and initial suspicion of cerebellar neoplasm. Histopathological findings of excised cerebellar mass revealed the presence of necrosis and inflammation with structure resembling amoebic trophozoites, but without granulomas. Polymerase chain reaction from cerebellar tissue was positive for Acanthamoeba T4 genotype. Due to gastrointestinal intolerance to miltefosine, the patient was treated with long-term course of fluconazole and trimethoprim/sulphamethoxazole, obtaining complete clinical and neuroradiological resolution.

Indexed as

AcanthamoebaAdultAmebiasisAntiprotozoal AgentsCerebellumDominican RepublicEncephalitisFluconazoleHumansItalyMalePolymerase Chain ReactionTreatment OutcomeTrimethoprim, Sulfamethoxazole Drug CombinationAntiprotozoal AgentsFluconazoleTrimethoprim, Sulfamethoxazole Drug CombinationAcanthamoebaEncephalitisFree-living amoebasImmunocompetent host

Identifiers

PMID30288678
OpenAlexW2895288551

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.