A Rare Presentation of Central Nervous System Tuberculomas in an Immunocompetent Patient.

Bryce K Chang, Jacqueline Adlawan, Samuel Fesenmeier, David Kaminskas, Enrique Carrazana, Kore K Liow

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In one paragraph

Article in Hawai'i journal of health & social welfare, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact, top 87% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 3 institutions in 1 country.

Bryce K ChangJohn A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (BKC).

Jacqueline AdlawanFamily Medicine Residency Program, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JA).

Samuel FesenmeierPsychiatry Residency Program, Tripler Army Medical Center, Honolulu, HI (SF).

David KaminskasHawai'i Pacific Neuroscience, Honolulu, HI (DK, EC, KKL).

Enrique CarrazanaHawai'i Pacific Neuroscience, Honolulu, HI (DK, EC, KKL).

Kore K LiowHawai'i Pacific Neuroscience, Honolulu, HI (DK, EC, KKL).

Hawaii Pacific University · USUniversity of Hawaiʻi at Mānoa · USTripler Army Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The uncommon presentation of simultaneous brain and lung lesions in an immunocompetent adult patient with frequent travel to a mycobacterium tuberculosis (MTB) endemic area requires high clinical suspicion for central nervous system (CNS) MTB, as this disease often results in severe neurologic morbidity and mortality. Non-specific and subacute symptoms make the diagnosis of CNS MTB clinically challenging, and a workup with imaging and microbiological studies such as acid-fast bacilli staining, nucleic acid amplification testing, and tissue culture must not delay prompt treatment with anti-tuberculosis therapy. This case illustrates the complex challenges of medical diagnosis and multi-disciplinary decision-making involved in the workup of CNS MTB.

Indexed as

Mycobacterium tuberculosisTuberculomaAdultCentral Nervous SystemHumanscentral nervous systemmycobacterium tuberculosissimultaneous brain and lung lesions

Identifiers

PMID35673365

PMCPMC9168935

OpenAlexW4282939271

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.