Evidence map›Paper›PMID 36637124›Full record

ArticleThe Journal of infectious diseases2023

A Rough Colony Morphology of Mycobacterium abscessus Is Associated With Cavitary Pulmonary Disease and Poor Clinical Outcome.

Wilhelm Hedin, Gabrielle Fröberg, Kalle Fredman, Erja Chryssanthou, Ingrid Selmeryd, Anna Gillman, Letizia Orsini, Michael Runold, Bodil Jönsson, Thomas Schön and 1 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in The Journal of infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.7field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Journal of bacteriology · 2026
    Review
  7. Smooth-to-rough morphotype switching, a mechanism of phage resistance inProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  8. Biofilm Associated Persistence and Drug Tolerance in Mycobacteria Within Host Microenvironments.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2026
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. P3MA: A Promising Mycobacteriophage InfectingAntibiotics (Basel, Switzerland) · 2025
    Article
  15. Article
  16. Insights on the Pathogenesis ofJournal of clinical medicine · 2025
    Review
  17. Article
  18. Frontiers in cellular and infection microbiology · 2025
    Article
  19. Divergent host humoral innate immune response to the smooth-to-rough adaptation ofFrontiers in cellular and infection microbiology · 2025
    Article
  20. 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

11 authors at 6 institutions in 1 country.

Wilhelm HedinDepartment of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden.
Gabrielle FröbergDepartment of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden.
Kalle FredmanDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Erja ChryssanthouDepartment of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden.
Ingrid SelmerydDepartment of Infectious Diseases, Västmanland Hospital, Västerås, Sweden.
Anna GillmanDepartment of Medical Sciences, Section for Infectious Diseases, Uppsala University, Uppsala, Sweden.
Letizia OrsiniDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.
Michael RunoldDepartment of Medicine, Division of Respiratory Medicine and Allergology, Karolinska Institutet, Solna, Sweden.
Bodil JönssonClinical Microbiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Thomas SchönDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Lina Davies ForsmanDepartment of Medicine, Division of Infectious Diseases, Karolinska Institutet, Solna, Sweden.ORCID 0000-0001-8885-3320
Karolinska University Hospital · SEKarolinska Institutet · SELinköping University · SESahlgrenska University Hospital · SEUppsala University · SEVästmanlands sjukhus Västerås · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Mycobacterium abscessus complex (MABC) is a difficult to treat mycobacterium with two distinct morphologies: smooth and rough. As the clinical implications are unclear, we explored the morphology of MABC in relation to disease and outcome.

methodsWe performed a retrospective multicenter cohort study including patients with confirmed MABC in Sweden, 2009-2020, with treatment outcome as the primary outcome. MABC colony morphology was determined by light microscopy on Middlebrook 7H10 agar plates.

resultsOf the 71 MABC isolates, a defined morphology could be determined for 63 isolates, of which 40 were smooth (56%) and 23 were rough (32%). Immunosuppression, pulmonary disease, and cavitary lesion on chest radiographs were significantly associated with a rough isolate morphology. Participants with smooth isolates had more favorable treatment outcomes (12/14, 86%) compared to those with rough isolates (3/10, 30%). In an age-adjusted logistic regression, rough morphology of MABC was associated to lower odds of clinical cure compared to smooth morphology (adjusted odds ratio, 0.12; P = .049).

conclusionsStudy participants with rough MABC colony morphology of isolates had a worse clinical outcome compared to those with smooth isolates. The biological mechanisms should be further characterized and colony morphology of MABC taken into account during clinical management.

Indexed as

Lung DiseasesMycobacterium abscessusMycobacterium Infections, NontuberculousAnti-Bacterial AgentsCohort StudiesHumansSwedenAnti-Bacterial Agentscolony morphologyMycobacterium abscessus complexnontuberculous mycobacteriasubspeciestreatment outcome

Identifiers

PMID36637124
PMCPMC10043986
OpenAlexW4315927498

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.