Evidence map›Paper›PMID 35070297›Full record

ArticleTherapeutic advances in infectious disease

Missed opportunities to identify cryptococcosis in COVID-19 patients: a case report and literature review.

Daniel B Chastain, Andrés F Henao-Martínez, Austin C Dykes, Gregory M Steele, Laura Leigh Stoudenmire, Geren M Thomas, Vanessa Kung, Carlos Franco-Paredes

Open access · goldAbstract readCase Reports
In one paragraph

Article in Therapeutic advances in infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Calcimycin InhibitsACS infectious diseases · 2022
    Article
  5. Article
  6. Review
  7. Review
  8. Overview of COVID-19-Associated Invasive Fungal Infection.Current fungal infection reports · 2022
    Review
  9. Article
  10. Article
  11. COVID-19 associated with cryptococcosis: a scoping review.Therapeutic advances in infectious disease
    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.

Daniel B ChastainDepartment of Clinical & Administrative Pharmacy, College of Pharmacy, University of Georgia, 1000 Jefferson Street, Albany, GA 31701, USA.ORCID https://orcid.org/0000-0002-4018-0195
Andrés F Henao-MartínezDivision of Infectious Diseases, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.ORCID https://orcid.org/0000-0001-7363-8652
Austin C DykesDepartment of Clinical & Administrative Pharmacy, College of Pharmacy, University of Georgia, Albany, GA, USA.
Gregory M SteeleInfectious Diseases, Phoebe Putney Memorial Hospital, Albany, GA, USA.
Laura Leigh StoudenmireDepartment of Pharmacy, Phoebe Putney Memorial Hospital, Albany, GA, USA.
Geren M ThomasDepartment of Pharmacy, John D. Archbold Memorial Hospital, Thomasville, GA, USA.
Vanessa KungDivision of Infectious Diseases, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Carlos Franco-ParedesDivision of Infectious Diseases, University of Colorado, Anschutz Medical Campus, Aurora, CO, USAHospital Infantil de México, Federico Gómez, México City, México.ORCID https://orcid.org/0000-0001-8757-643X
University of Colorado Anschutz Medical Campus · USPhoebe Putney Memorial Hospital · USUniversity of Georgia · USMemorial Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV-2 may activate both innate and adaptive immune responses ultimately leading to a dysregulated immune response prompting the use of immunomodulatory therapy. Although viral pneumonia increases the risk of invasive fungal infections, it remains unclear whether SARS-CoV-2 infection, immunomodulatory therapy, or a combination of both are responsible for the increased recognition of opportunistic infections in COVID-19 patients. Cases of cryptococcosis have previously been reported following treatment with corticosteroids, interleukin (IL)-6 inhibitors, and Janus kinase (JAK) inhibitors, for patients with autoimmune diseases, but their effect on the immunologic response in patients with COVID-19 remains unknown. Herein, we present the case of a patient with COVID-19 who received high-dose corticosteroids and was later found to have cryptococcosis despite no traditional risk factors. As our case and previous cases of cryptococcosis in patients with COVID-19 demonstrate, clinicians must be suspicious of cryptococcosis in COVID-19 patients who clinically deteriorate following treatment with immunomodulatory therapies.

Indexed as

COVID-19Cryptococcuscytokine release syndromeimmunotherapySARS-CoV-2

Identifiers

PMID35070297
PMCPMC8771738
OpenAlexW4205898142

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.