Evidence map›Paper›PMID 37635233›Full record

ArticleEuropean journal of medical research2023

Amoxicillin-induced aseptic meningitis: clinical features, diagnosis and management.

Zhiqiang Fan, Yang He, Wei Sun, Zuojun Li, Chao Ye, Chunjiang Wang

Open access · goldAbstract read
In one paragraph

Article in European journal of medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.4field-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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  4. Review
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 4 institutions in 1 country.

Zhiqiang FanDepartment of Pharmacy, The First Hospital of Hunan University of Chinese Medicine, Changsha, 410007, Hunan, China.
Yang HeDepartment of Pharmacy, The First Hospital of Hunan University of Chinese Medicine, Changsha, 410007, Hunan, China.
Wei SunDepartment of Pharmacy, The Third Xiangya Hospital, Central South University, No. 138 Tongzipo Road, YueLu District, Changsha, 410013, Hunan, China.
Zuojun LiDepartment of Pharmacy, The Third Xiangya Hospital, Central South University, No. 138 Tongzipo Road, YueLu District, Changsha, 410013, Hunan, China.
Chao Ye *Department of Pharmacy, The Third Hospital of Changsha, Changsha, 410015, Hunan, China. 1550512714@qq.com.
Chunjiang Wang *College of Pharmacy, Changsha Medical University, Changsha, 410219, Hunan, China. wongcj@csu.edu.cn.
Changsha Medical University · CNThird Xiangya Hospital · CNCentral South University · CNThird Hospital of Changsha · CN

Funding

Natural Science Foundation of Hunan Province 2023JJ40499Scientific Research Fund Project of Hunan University of Chinese Medicine 2022XYLH004
6 · The paper itself

Abstract

objectivesThe clinical features of aseptic meningitis associated with amoxicillin are unknown. The main objective of this study was to investigate the clinical characteristics of amoxicillin-induced aseptic meningitis (AIAM) and provide a reference for clinical diagnosis and treatment.

methodsAIAM-related studies were collected by searching the relevant databases from inception to October 31, 2022.

resultsAIAM usually occurred 3 h to 7 days after amoxicillin administration in 13 males and 9 females. Twenty-one patients (95.5%) had recurrent AIAM with a total of 62 episodes. Fever (19 cases, 86.4%) and headache (18 cases, 81.8%) were the most common symptoms. Typical cerebrospinal fluid (CSF) findings were leukocytosis (100%) with lymphocytic predominance (14 cases, 63.6%), elevated protein (20 cases, 90.1%), normal glucose (21 cases, 95.5%) and negative culture (21 cases, 100%). Brain magnetic resonance imaging showed mild meningeal enhancement in one patient. The symptoms resolved mainly within 1-4 days after drug discontinuation in all patients.

conclusionClinical attention should be given to the adverse effects of AIAM. The medication history of patients with suspected meningitis should be investigated to avoid unnecessary examination and antibiotic treatment.

Indexed as

AmoxicillinMeningitis, AsepticAdultAgedAged, 80 and overCase Reports as TopicFemaleHumansMaleMiddle AgedAmoxicillinAmoxicillinAmoxicillin-clavulanateAseptic meningitisDrug-induced aseptic meningitisPharmacovigilance

Identifiers

PMID37635233
PMCPMC10464253
OpenAlexW4386204015

What OpenQuestion holds

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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.