Evidence map›Paper›PMID 37945681›Full record

ReviewNature reviews. Disease primers2023

Cryptococcal meningitis.

Lillian Tugume, Kenneth Ssebambulidde, John Kasibante, Jayne Ellis, Rachel M Wake, Jane Gakuru, David S Lawrence, Mahsa Abassi, Radha Rajasingham, David B Meya and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
23.4field-weighted citation impact, top 1% 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

72 citing papers in PubMed, 109 citations in OpenAlex.

  1. Article
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  9. Cellular and molecular responses ofMicrobiology spectrum · 2026
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  11. Acetylation and accessibility ofCell surface (Amsterdam, Netherlands) · 2026
    Article
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  13. Microbiology and molecular biology reviews : MMBR · 2026
    Review
  14. Fungal meningoencephalitis caused byMedical mycology case reports · 2026
    Article
  15. Article
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  19. Article
  20. Article

12 more citing papers are in PubMed but not listed here.

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 4 countries.

Lillian TugumeInfectious Diseases Institute, Makerere University, Kampala, Uganda. ltugume@idi.co.ug.ORCID 0000-0002-1293-1545
Kenneth SsebambuliddeInfectious Diseases Institute, Makerere University, Kampala, Uganda.ORCID 0000-0002-8125-0698
John KasibanteInfectious Diseases Institute, Makerere University, Kampala, Uganda.
Jayne EllisInfectious Diseases Institute, Makerere University, Kampala, Uganda.
Rachel M WakeInstitute for Infection and Immunity, St George's University of London, London, UK.
Jane GakuruInfectious Diseases Institute, Makerere University, Kampala, Uganda.ORCID 0000-0003-0150-4887
David S LawrenceClinical Research Department, Faculty of Infectious and Tropical Diseases London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-5439-4039
Mahsa AbassiDepartment of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0001-9601-3006
Radha RajasinghamDepartment of Medicine, University of Minnesota, Minneapolis, MN, USA.
David B Meya *Infectious Diseases Institute, Makerere University, Kampala, Uganda.
David R Boulware *Department of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-4715-0060
University of Minnesota · USInfectious Diseases Institute · UGLondon School of Hygiene & Tropical Medicine · GBMakerere University · UGNational Institutes of Health · USSt George's, University of London · GB

Funding

NPGH LEADERs YR12: OBSSR (Greenberg, Ngwafong Mukere) & NIBIB (Lee)D43TW009345 · FIC · UNIVERSITY OF WASHINGTON · PI Dibyadyuti Datta, Chandy C. John · 2017 to 2026
$15.2M
Improving Diagnostics and Neurocognitive Outcomes in HIV/AIDS-related MeningitisR01NS086312 · NINDS · UNIVERSITY OF MINNESOTA · PI David R Boulware, David Bisagaya Meya · 2013 to 2026
$8.3M
FIC NIH HHS D43 TW009345NINDS NIH HHS R01 NS086312
6 · The paper itself

Abstract

Cryptococcus neoformans and Cryptococcus gattii species complexes cause meningoencephalitis with high fatality rates and considerable morbidity, particularly in persons with deficient T cell-mediated immunity, most commonly affecting people living with HIV. Whereas the global incidence of HIV-associated cryptococcal meningitis (HIV-CM) has decreased over the past decade, cryptococcosis still accounts for one in five AIDS-related deaths globally due to the persistent burden of advanced HIV disease. Moreover, mortality remains high (~50%) in low-resource settings. The armamentarium to decrease cryptococcosis-associated mortality is expanding: cryptococcal antigen screening in the serum and pre-emptive azole therapy for cryptococcal antigenaemia are well established, whereas enhanced pre-emptive combination treatment regimens to improve survival of persons with cryptococcal antigenaemia are in clinical trials. Short courses (≤7 days) of amphotericin-based therapy combined with flucytosine are currently the preferred options for induction therapy of cryptococcal meningitis. Whether short-course induction regimens improve long-term morbidity such as depression, reduced neurocognitive performance and physical disability among survivors is the subject of further study. Here, we discuss underlying immunology, changing epidemiology, and updates on the management of cryptococcal meningitis with emphasis on HIV-associated disease.

Indexed as

CryptococcosisHIV InfectionsMeningitis, CryptococcalAmphotericin BAntifungal AgentsHumansAmphotericin BAntifungal Agents

Identifiers

PMID37945681
PMCPMC13524010
OpenAlexW4388534358

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.