Evidence map›Paper›PMID 30572823›Full record

ArticleBMC infectious diseases2018

Case report of Actinomyces turicensis meningitis as a complication of purulent mastoiditis.

Béla Kocsis, Zoltán Tiszlavicz, Gabriella Jakab, Réka Brassay, Márton Orbán, Ágnes Sárkány, Dóra Szabó

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Draft genome sequence of endometrialMicrobiology resource announcements · 2026
    Article
  3. Recurrent Diverticulitis Complicated byACG case reports journal · 2025
    Article
  4. Article
  5. Article
  6. Polymicrobial infections with specificJournal of oral microbiology · 2024
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Pleural empyema caused byNew microbes and new infections · 2021
    Article
  12. Access microbiology · 2021
    Article
  13. Article
  14. Article
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

7 authors at 3 institutions in 1 country.

Béla KocsisSemmelweis University, Institute of Medical Microbiology, Budapest, Hungary. kocsis.bela@med.semmelweis-univ.hu.ORCID http://orcid.org/0000-0002-7067-7055
Zoltán TiszlaviczSYNLAB Székesfehérvár Microbiology Laboratory, Székesfehérvár, Hungary.
Gabriella JakabSYNLAB Székesfehérvár Microbiology Laboratory, Székesfehérvár, Hungary.
Réka Brassay"Szent György" University Teaching Hospital, Székesfehérvár, Hungary.
Márton Orbán"Szent György" University Teaching Hospital, Székesfehérvár, Hungary.
Ágnes Sárkány"Szent György" University Teaching Hospital, Székesfehérvár, Hungary.
Dóra SzabóSemmelweis University, Institute of Medical Microbiology, Budapest, Hungary.
Fejér Megyei Szent György Egyetemi Oktató Kórház · HUKodolányi János University of Applied Sciences · HUSemmelweis University · HU

Funding

OTKA Hungarian Research Fund 108481
6 · The paper itself

Abstract

backgroundCentral nervous system (CNS) infections caused by Actinomyces spp. including brain abscess, actinomycoma, subdural empyema and epidural abscess are well described, however reports of Actinomyces-associated meningitis are scarcely reported. CASE REPORT: We present the case of a 43-year-old Hungarian male patient with poor socioeconomic status who developed acute bacterial meningitis caused by Actinomyces turicensis originating from the left side mastoiditis. The bacterial cultures of both cerebrospinal fluid (CSF) and purulent discharge collected during the mastoid surgery showed slow growing Gram-positive rods that were identified by automated systems (API, VITEK) as A. turicensis The bacterial identification was confirmed by 16S rRNA PCR and subsequent nucleic acid sequencing. No bacterial growth was detected in blood culture bottles after 5 days of incubation. Hence, multiple antibacterial treatments and surgical intervention the patient passed away.

conclusionsAnaerobes are rarely involved in CNS infections therefore anaerobic culture of CSF samples is routinely not performed. However, anaerobic bacteria should be considered as potential pathogens when certain risk factors are present, such as paranasal sinusitis, mastoiditis in patients with poor socioeconomic condition. To the best of our knowledge, our case report is the first description of A. turicensis meningitis that has been diagnosed as consequence of purulent mastoiditis.

Indexed as

ActinomycesActinomycosisAdultAnti-Bacterial AgentsBrain AbscessEmpyema, SubduralFatal OutcomeHumansMaleMastoiditisMeningitis, BacterialPolymerase Chain ReactionPovertyRNA, Ribosomal, 16SSocial ClassAnti-Bacterial AgentsRNA, Ribosomal, 16SActinomyces turicensisAnaerobic cultureCerebrospinal fluidMastoiditisMeningitisPoor socioeconomic condition

Identifiers

PMID30572823
PMCPMC6302302
OpenAlexW2903955461

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.