Evidence map›Paper›PMID 32456686›Full record

ArticleAIDS research and therapy2020

AIDS-associated Talaromyces marneffei central nervous system infection in patients of southwestern China.

Yu-Ye Li, Rong-Jing Dong, Samip Shrestha, Pratishtha Upadhyay, Hui-Qin Li, Yi-Qun Kuang, Xin-Ping Yang, Yun-Gui Zhang

Open access · goldAbstract readCase Reports
In one paragraph

Article in AIDS research and therapy, 2020. 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
1.2field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
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  4. Clinical Characteristics of Patients With AIDS andAIDS research and treatment · 2026
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  5. Mechanisms ofVirulence · 2025
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  6. Review
  7. AIDS-AssociatedInfection and drug resistance · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. 53-Year-Old Male With Progressively Worsening Memory and Responsiveness.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  13. Journal of fungi (Basel, Switzerland) · 2022
    Review
  14. Article
  15. Article
  16. The Effect ofInfection and drug resistance · 2021
    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

8 authors at 4 institutions in 1 country.

Yu-Ye LiDepartment of Dermatology and Venereology, First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China.
Rong-Jing DongDepartment of Dermatology and Venereology, First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China.
Samip ShresthaDepartment of Medical Imaging, First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China.
Pratishtha UpadhyayDepartment of Dermatology and Venereology, First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China.
Hui-Qin LiYunnan Provincial Hospital of Infectious Disease/Yunnan AIDS Care Center (YNACC), Kunming, 650301, China.
Yi-Qun KuangInstitute of Infection and Immunology, Henan University & Center for Translational Medicine, Huaihe Clinical College, Huaihe Hospital of Henan University, Kaifeng, 475000, China.
Xin-Ping YangYunnan Provincial Hospital of Infectious Disease/Yunnan AIDS Care Center (YNACC), Kunming, 650301, China. yxpkm@qq.com.
Yun-Gui ZhangYunnan Provincial Hospital of Infectious Disease/Yunnan AIDS Care Center (YNACC), Kunming, 650301, China. 805903562@qq.com.
First Affiliated Hospital of Kunming Medical University · CNYunnan Provincial Infectious Disease Hospital · CNHenan University Huaihe Hospital and Huaihe Clinical Institute · CNKunming Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical and laboratory characteristics of AIDS-associated Talaromyces marneffei infection, a rare but a fatal mycosis disease of the central nervous system, remain unclear. CASE PRESENTATION: Herein, we conducted a retrospective study of ten AIDS patients with cerebrospinal fluid culture-confirmed central nervous system infection caused by Talaromyces marneffei. All 10 patients were promptly treated with antifungal treatment for a prolonged duration and early antiviral therapy (ART). Among them, seven patients were farmers. Nine patients were discharged after full recovery, while one patient died during hospitalization, resulting in a mortality rate of 10%. All patients initially presented symptoms and signs of an increase in intracranial pressure, mainly manifesting as headache, dizziness, vomiting, fever, decreased muscle strength, diplopia or even altered consciousness with seizures in severe patients. Nine patients (90%) showed lateral ventricle dilatation or intracranial infectious lesions on brain CT. Cerebrospinal fluid findings included elevated intracranial pressure, increased leukocyte count, low glucose, low chloride and high cerebrospinal fluid protein. The median CD4

conclusionsThe common clinical symptoms of T. marneffei central nervous system infection are associated with high intracranial pressure and intracranial infectious lesions. Earlier recognition and diagnosis and a prolonged course of amphotericin B treatment followed by itraconazole combined with early ART might reduce the mortality rate.

Indexed as

AdultAIDS-Related Opportunistic InfectionsAntifungal AgentsCentral Nervous System InfectionsChinaFemaleHIV InfectionsHumansMaleMiddle AgedMycosesRetrospective StudiesTalaromycesAntifungal AgentsAIDSAntifungal therapyCentral nervous system infectionCSFT. marneffei

Identifiers

PMID32456686
PMCPMC7249401
OpenAlexW3029104687

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.