Evidence map›Paper›PMID 33674294›Full record

ArticleBMJ case reports2021

Bacterial meningitis and COVID-19: a complex patient journey.

Eliot Hurn, Lauren Dickinson, Jijie Annie Abraham

Abstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

3 authors.

Eliot HurnGeneral Medicine Bishop Auckland General Hospital, County Durham and Darlington NHS Foundation Trust, Bishop Auckland, UK ehurn@hotmail.com.ORCID http://orcid.org/0000-0001-7442-8673
Lauren DickinsonGeneral Medicine Bishop Auckland General Hospital, County Durham and Darlington NHS Foundation Trust, Bishop Auckland, UK.
Jijie Annie AbrahamGeneral Medicine Bishop Auckland General Hospital, County Durham and Darlington NHS Foundation Trust, Bishop Auckland, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A woman in her 70s presented to the emergency department with fever, fluctuating cognition and headache. A detailed examination revealed neurological weakness to the lower limbs with atonia and areflexia, leading to a diagnosis of bacterial meningitis, alongside a concurrent COVID-19 infection. The patient required critical care escalation for respiratory support. After stepdown to a rehabilitation ward, she had difficulties communicating due to new aphonia, hearing loss and left third nerve palsy. The team used written communication with the patient, and with this the patient was able to signal neurological deterioration. Another neurological examination noted a different pattern of weakness to the lower limbs, along with new urinary retention, and spinal arachnoiditis was identified. After more than 10 weeks in the hospital, the patient was discharged. Throughout this case, there were multiple handovers between teams and specialties, all of which were underpinned by good communication and examination to achieve the best care.

Indexed as

AgedAmoxicillinAnti-Bacterial AgentsCeftriaxoneCoinfectionCombined Modality TherapyCommunicationConfusionCOVID-19Critical CareDiagnosis, DifferentialFemaleFeverHeadacheHumansMeningitis, Escherichia coliAmoxicillinAnti-Bacterial AgentsCeftriaxoneinfectious diseasesmedical managementmeningitisTB and other respiratory infections

Identifiers

PMID33674294
PMCPMC7938971

What OpenQuestion holds

Textmetadata
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.