Evidence map›Paper›PMID 34074256›Full record

ArticleBMC infectious diseases2021

Clinical characteristics and risk factors for poor prognosis among HIV patients with Talaromyces marneffei bloodstream infection.

Jianjun Sun, Weiwei Sun, Yang Tang, Renfang Zhang, Li Liu, Yinzhong Shen, Jiangrong Wang, Jun Chen, Tangkai Qi, Zhenyan Wang and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  9. Disseminated CombinedInfection and drug resistance · 2024
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  12. DisseminatedOpen forum infectious diseases · 2023
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  13. Review
  14. DisseminatedFrontiers in cellular and infection microbiology · 2023
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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

14 authors at 2 institutions in 1 country.

Jianjun Sun *Department of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Weiwei Sun *Department of Obstetrics and Gynecology, Shanghai Public Health Clinical Center, Shanghai, China.
Yang TangDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Renfang ZhangDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Li LiuDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Yinzhong ShenDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Jiangrong WangDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Jun ChenDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Tangkai QiDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Zhenyan WangDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Wei SongDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Yixiao LinDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Shuibao XuDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China.
Hongzhou LuDepartment of Infection and Immunity, Shanghai Public Health Clinical Center, Shanghai, China. luhongzhou@fudan.edu.cn.
Shanghai Public Health Clinical Center · CNFudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTalaromyces marneffei (TM) bloodstream infection is common in Acquired Immunodeficiency Syndrome (AIDS) patients with extreme immunodeficiency in Southeast Asia and South China, however, clinical case study on TM bloodstream infection is scarce. We retrospectively analyzed the clinical characteristics of TM bloodstream infection in hospitalized AIDS patients and determined the outcomes of hospitalization after diagnosis in our hospital over the past 5 years.

methodsFrom January 2015 to July 2020, 87 cases of TM detected by blood culture in patients admitted to our center were collected. The admission complaints, blood cells, biochemistry, CD4 and CD8 cell counts and 1,3-β-D-glucan (BDG), procalcitonin (PCT), CRP level on the day of blood culture test, and outcomes during hospitalization were analyzed. Logistic regression analysis was performed for the risk factors for poor prognosis (60 cases). Spearman correlation analysis was used to analyze the correlation between peripheral blood cells, albumin and the time required for TM turnaround in blood culture. The difference was statistically significant when the P value was < 0.05.

resultsA total of 87 patients were collected, with a median age of 34 years, a median hemoglobin of 94 g/L and CD4 count of 7/μl. The rate of TM bloodstream infection among all in-hospital patients increased from 0.99% in 2015 to 2.09% in 2020(half year). Patients with TM bloodstream infection with CD8 count < 200/μl had a 12.6-fold higher risk of poor prognosis than those with CD8 count > 200/μl (p = 0.04), and those with BDG < 100 pg/mL had a 34.9-fold higher risk of poor prognosis than those with BDG > 100 pg/mL (p = 0.01).

conclusionsTM bloodstream infection is becoming more common in advanced AIDS patients in endemic areas. For those patients with extremely low CD4 and CD8 cell counts below 200/μl is with an increased risk of poor prognosis.

Indexed as

AdultAIDS-Related Opportunistic InfectionsChinaFemaleFungemiaHospitalizationHumansMaleMiddle AgedMycosesPrognosisRetrospective StudiesRisk FactorsTalaromycesAIDSBloodstream infectionClinical characteristicsHIV infectionPoor prognosisPrevalenceRisk factorsTalaromyces marneffei

Identifiers

PMID34074256
PMCPMC8170804
OpenAlexW3122851745

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.