Evidence map›Paper›PMID 33476401›Full record

ReviewMycoses2021

Disseminated cryptococcosis and anti-granulocyte-macrophage colony-stimulating factor autoantibodies: An underappreciated association.

George M Viola, Alexandre E Malek, Lindsey B Rosen, Andrew R DiNardo, Tomoki Nishiguchi, Pablo C Okhuysen, Steven M Holland, Dimitrios P Kontoyiannis

Abstract readCase ReportsReview
In one paragraph

Review in Mycoses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. ConcurrentCase reports in infectious diseases · 2026
    Article
  5. Article
  6. Human immunity to fungal infections.The Journal of experimental medicine · 2025
    Review
  7. Article
  8. The monogenic landscape of human infectious diseases.The Journal of allergy and clinical immunology · 2025
    Review
  9. Article
  10. Article
  11. The ouroboros of autoimmunity.Nature immunology · 2024
    Review
  12. Review
  13. Review
  14. Anticytokine Autoantibodies in Infectious Diseases: A Practical Overview.International journal of molecular sciences · 2023
    Review
  15. Article
  16. Article
  17. Human autoantibodies underlying infectious diseases.The Journal of experimental medicine · 2022
    Article
  18. Macrophage Mediated Immunomodulation DuringFrontiers in cellular and infection microbiology · 2022
    Review
  19. Article
  20. Anticytokine autoantibodies: Autoimmunity trespassing on antimicrobial immunity.The Journal of allergy and clinical immunology · 2022
    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

8 authors at 3 institutions in 1 country.

George M ViolaDepartment of Infectious Diseases, Infection Control, and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID https://orcid.org/0000-0003-1670-2827
Alexandre E MalekDepartment of Infectious Diseases, Infection Control, and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Lindsey B RosenNational Institute of Allergy and Infectious Diseases, Bethesda, MD, USA.
Andrew R DiNardoDivision of Infectious Diseases, Department of Internal Medicine, Baylor College of Medicine, Houston, TX, USA.
Tomoki NishiguchiDivision of Infectious Diseases, Department of Internal Medicine, Baylor College of Medicine, Houston, TX, USA.
Pablo C OkhuysenDepartment of Infectious Diseases, Infection Control, and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Steven M HollandNational Institute of Allergy and Infectious Diseases, Bethesda, MD, USA.
Dimitrios P KontoyiannisDepartment of Infectious Diseases, Infection Control, and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID https://orcid.org/0000-0002-8051-2940
The University of Texas MD Anderson Cancer Center · USBaylor College of Medicine · USNational Institute of Allergy and Infectious Diseases · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
National Institutes of Health/ National Cancer Institute P30CA016672NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

The development of disseminated cryptococcosis has historically occurred in patients living with advanced human immunodeficiency virus or other immunosuppressive conditions affecting T-cell function. Recently, patients with anti-cytokine neutralising autoantibodies have been recognised to be at risk for disseminated infections by opportunistic intracellular pathogens, including Cryptococcus species. Herein, we present a previously healthy 26-year-old man who was evaluated with disseminated cryptococcosis involving the bone, lung, mediastinum and brain. The patient's serum cryptococcal antigen titres were >1:1,100,000, and evaluation for an underlying immunodeficiency revealed high titres for anti-granulocyte-macrophage colony-stimulating factor (GM-CSF) autoantibodies. We also review the literature of all published cases of disseminated cryptococcosis associated with the presence of anti-GM-CSF autoantibodies. Clinicians should have a heightened awareness of anti-cytokine autoantibodies in patients without a known immunodeficiency and development disseminated infections by opportunistic intracellular pathogens.

Indexed as

CryptococcosisAdultAIDS-Related Opportunistic InfectionsAutoantibodiesBone and BonesCryptococcusCytokinesGranulocyte-Macrophage Colony-Stimulating FactorHumansImmunosuppression TherapyInvasive Fungal InfectionsLungMaleMeningitis, CryptococcalAutoantibodiesCytokinesGranulocyte-Macrophage Colony-Stimulating FactorautoantibodiesCryptococcuscytokinesfungusimmunodeficiencymeningitis

Identifiers

PMID33476401
PMCPMC11913175
OpenAlexW3121899972

What OpenQuestion holds

Textmetadata
LicenceTDM
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.