Evidence map›Paper›PMID 35867915›Full record

ArticleBiomedica : revista del Instituto Nacional de Salud2022

Disseminated cryptococcosis by biological therapy: We must manage the risk

Efraín Guillermo Sánchez, David Acosta, Juan Álvarez, Gabriela Sánchez, Julio García-Casallas

Abstract readCase Reports
In one paragraph

Article in Biomedica : revista del Instituto Nacional de Salud, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Efraín Guillermo SánchezDepartamento de Medicina Interna, Fundación Cardioinfantil - Universidad del Rosario, Bogotá, D.C., Colombia. biomedica@ins.gov.co.
David AcostaClínica Universidad de La Sabana, Universidad de La Sabana, Chía, Colombia. biomedica@ins.gov.co.
Juan ÁlvarezClínica Universidad de La Sabana, Universidad de La Sabana, Chía, Colombia. biomedica@ins.gov.co.
Gabriela SánchezClínica Universidad de La Sabana, Universidad de La Sabana, Chía, Colombia. biomedica@ins.gov.co.
Julio García-CasallasClínica Universidad de La Sabana, Universidad de La Sabana, Chía, Colombia; Grupo de investigación Evidencia Terapéutica, Facultad de Medicina, Universidad de La Sabana, Chía, Colombia. julio.garcia@unisabana.edu.co.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Multiple adverse effects have been described for the biological therapy in autoimmune diseases including many secondary to immunosuppression producing bacterial, fungal, or viral infections. Clinical case: We present the case of a 64-year-old female patient with proven disseminated cryptococcosis secondary to the use of tofacitinib. Other possible causes of immunosuppression such as the human immunodeficiency virus (HIV) were ruled out. The patient had been in treatment for rheumatoid arthritis diagnosed three years before. This drug is a biological agent that inhibits JAK enzymes. Very few cases of pulmonary and meningeal cryptococcosis in this type of patient have been described in the literature. Conclusion: This case report should be useful for other clinicians to bear in mind the possibility of this type of invasive fungal infection associated with biological therapy and to take a risk-management approach.

Indexed as

Biological TherapyCryptococcosisFemaleHumansMiddle AgedRetrospective Studiesbiological therapycryptococcosisCryptococcus neoformansmedication errors

Identifiers

PMID35867915
PMCPMC9296075

What OpenQuestion holds

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Registered trials

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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.