Evidence map›Paper›PMID 32813683›Full record

ArticleThe American journal of case reports2020

A 28-Year-Old Man from India with SARS-Cov-2 and Pulmonary Tuberculosis Co-Infection with Central Nervous System Involvement.

Fateen Ata, Qudsum Yousaf, Jessiya Veliyankodan Parambil, Jabeed Parengal, Mohamed G Mohamedali, Zohaib Yousaf

Open access · hybridAbstract readCase Reports
In one paragraph

Article in The American journal of case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 6% 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, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. When to test for COVID-19 using real-time reverse transcriptase polymerase chain reaction: a systematic review.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Crosstalk betweenFrontiers in immunology · 2026
    Article
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  10. Pathogenesis of SARS-CoV-2 andFrontiers in immunology · 2022
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. The microbiota-related coinfections in COVID-19 patients: a real challenge.Beni-Suef University journal of basic and applied sciences · 2021
    Review
  16. Tuberculosis and COVID-19 Co-infection: An Updated Review.Acta bio-medica : Atenei Parmensis · 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

6 authors at 2 institutions in 2 countries.

Fateen AtaDepartment of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
Qudsum YousafDepartment of Neurology, King Edward Medical University, Lahore, Pakistan.
Jessiya Veliyankodan ParambilDepartment of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
Jabeed ParengalDepartment of Infectious Disease, Hamad Medical Corporation, Doha, Qatar.
Mohamed G MohamedaliDepartment of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
Zohaib YousafDepartment of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
Hamad Medical Corporation · QAKing Edward Medical University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Tuberculosis (TB) is a great mimic of central nervous system (CNS) tumors. This mimicry may pose a challenge, as the management of both diseases is quite different. Furthermore, the temporal association of initiating treatment affects prognosis. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) mainly infects the pulmonary system. However, in a patient with concomitant pulmonary tuberculosis, it can be a diagnostic challenge. CASE REPORT A 28-year-old man of Indian origin presented with headache and vomiting. He had a brain mass on imaging suggestive of a glioma. He also had lung infiltrates and was diagnosed with a co-infection by SARS-CoV-2, by a reverse-transcription polymerase chain reaction (RT-PCR) using the GeneXpert system. The mass was excised and was found to be a tuberculoma, diagnosed by Xpert MTB. He received first-line anti-TB and treatment for COVID-19 pneumonia based on local guidelines. CONCLUSIONS This report highlights that COVID-19 can co-exist with other infectious diseases, such as TB. A high degree of clinical suspicion is required to detect TB with atypical presentation. A co-infection of pulmonary and CNS TB with COVID-19 can present a diagnostic challenge, and appropriate patient management relies on an accurate and rapid diagnosis. Surgery may be necessary if there are compressive signs and symptoms secondary to CNS TB. A diagnosis of COVID-19 should not delay urgent surgeries. Further studies are needed to understand the effects of COVID-19 on the clinical course of TB.

Indexed as

BetacoronavirusAdultCerebellar DiseasesCerebellumCoinfectionComorbidityCoronavirus InfectionsCOVID-19HumansLungMagnetic Resonance ImagingMalePandemicsPneumonia, ViralRadiography, ThoracicSARS-CoV-2

Identifiers

PMID32813683
PMCPMC7458692
OpenAlexW3046653945

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.