Evidence map›Paper›PMID 31049279›Full record

ArticleMedical mycology case reports2019

Cryptococcal meningitis after ART: Need for proper baseline evaluation in the era of 'Test & Treat'.

Iorhen E Akase, Olamide Olowoyo, Rita O Oladele, Reginald O Obiako, Adilia Warris, Sulaimon A Akanmu

Abstract readCase Reports
In one paragraph

Article in Medical mycology case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Iorhen E AkaseInfectious Disease Unit, Department of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria.
Olamide OlowoyoDepartment of Medicine, Federal Medical Center, Ebute-Metta, Lagos, Nigeria.
Rita O OladeleDepartment of Medical Microbiology and Parasitology, Lagos University Teaching Hospital, Lagos, Nigeria.
Reginald O ObiakoDepartment of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Adilia WarrisMRC Center for Medical Mycology, Aberdeen Fungal Group, Institute of Medical Sciences, University of Aberdeen, UK.
Sulaimon A AkanmuCollege of Medicine, University of Lagos, Lagos, Nigeria.

Funding

Medical Research Council MR/N006364/1
6 · The paper itself

Abstract

Cryptococcal meningitis (CM) contributes significantly to high early mortality in the setting of advanced HIV. In resource poor settings, the current HIV disease management approach is focused on commencing antiretroviral therapy (ART) on the same day of HIV diagnosis ('Test and Treat'). The HIV program in Nigeria does not currently provide CrAg screening for patients with newly diagnosed and advanced HIV disease. We report a case of severe cryptococcal meningitis presenting following the commencement of ART. There is clear benefit in the early commencement of ART among HIV infected patients and to prevent patients lost to follow-up as aimed with the 'Test & Treat' approach. However, this approach needs to be balanced against the risk of IRIS and its associated morbidity and mortality when those patients are not being properly evaluated for opportunistic infections being present without overt symptoms.

Indexed as

Cryptococcal meningitisHIVIRISNigeriaTest and Treat

Identifiers

PMID31049279
PMCPMC6479266

What OpenQuestion holds

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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.