Evidence map›Paper›PMID 38222459›Full record

ArticleAnnals of internal medicine. Clinical cases2023

Pituitary apoplexy as a mimicker of infectious meningitis in an adolescent female patient.

Justine P Enns, Timour Al-Khindi, Catherine Wu, Mamuka Machaidze, Joowhan Sung

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of internal medicine. Clinical cases, 2023. 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
0.2field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Pituitary Apoplexy: An Updated Review.Journal of clinical medicine · 2024
    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

5 authors at 1 institution in 1 country.

Justine P EnnsJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Timour Al-KhindiJohns Hopkins University School of Medicine, Department of Neurosurgery, Baltimore, MD, USA.
Catherine WuJohns Hopkins Bayview Medical Center, Department of Medicine, Baltimore, MD, USA.
Mamuka MachaidzeJohns Hopkins Bayview Medical Center, Department of Medicine, Baltimore, MD, USA.
Joowhan SungJohns Hopkins University School of Medicine, Division of Infectious Diseases, Baltimore, MD, USA.
Johns Hopkins University · US

Funding

RESEARCH TRAINING IN MICROBIAL DISEASEST32AI007291 · NIAID · JOHNS HOPKINS UNIVERSITY · PI JOEL N BLANKSON, Sara Elizabeth Cosgrove · 1986 to 2026
$9.1M
NIAID NIH HHS T32 AI007291
6 · The paper itself

Abstract

Pituitary apoplexy can cause a chemical meningitis and its mimicry in presentation with infectious meningitis poses a diagnostic challenge. Here we report an 18-year-old woman who presented with acute headache, altered mental status, and cerebral spinal fluid (CSF) pleocytosis, and clinically improved with antibiotics and steroids. Despite an unremarkable head computed tomography scan, brain magnetic resonance imaging showed a pituitary macroadenoma with apoplexy. This is one of the first reports of an adolescent with pituitary apoplexy masquerading as infectious meningitis and underscores the importance of keeping this rare condition, often missed on CT scans, on the differential for CSF pleocytosis.

Indexed as

adolescentamenorrheaaseptic meningitisPituitary apoplexy

Identifiers

PMID38222459
PMCPMC10786407
OpenAlexW4386448426

What OpenQuestion holds

Textmetadata
LicenceTDM
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.