Evidence map›Paper›PMID 31493128›Full record

ReviewJournal of ophthalmic inflammation and infection2019

Paradoxical reactions in ocular tuberculosis.

Sudha K Ganesh, Sharanya Abraham, Sridharan Sudharshan

Abstract readReview
In one paragraph

Review in Journal of ophthalmic inflammation and infection, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. State-of-the-Art Review: Ocular Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. [Treatment of ocular tuberculosis-an update].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2020
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Interleukins and cytokine biomarkers in uveitis.Indian journal of ophthalmology · 2020
    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

3 authors.

Sudha K GaneshMedical Research Foundation, Sankara Nethralaya, 18, College Road, Chennai, 600 006, India. drskg@snmail.org.
Sharanya AbrahamMedical Research Foundation, Sankara Nethralaya, 18, College Road, Chennai, 600 006, India.
Sridharan SudharshanMedical Research Foundation, Sankara Nethralaya, 18, College Road, Chennai, 600 006, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paradoxical reactions following initiation of anti-tubercular therapy have been documented most often in extrapulmonary tuberculosis. A combination of factors such as delayed hypersensitivity, decreased suppressor mechanisms, and an increased response to mycobacterial antigens mediated by the host's immune system have been implicated in the development of these reactions. Similar worsening in patients with ocular tuberculosis while on treatment has been described. It is therefore important for the clinician to be aware of this occurrence, as prompt recognition and timely institution of corticosteroids and immunosuppressants can lead to restoration of vision. In these patients, an alteration or discontinuation of anti-tubercular therapy may not be indicated.

Indexed as

Anti-tubercular therapyCorticosteroidsHIVImmune-reconstitution inflammatory syndrome (IRIS)ImmunosuppressivesJarisch–Herxheimer reactionOcular tuberculosisParadoxical reactionParadoxical worseningSyphilis

Identifiers

PMID31493128
PMCPMC6730739

What OpenQuestion holds

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Registered trials

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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.