Evidence map›Paper›PMID 38524012›Full record

ArticleCureus2024

Concomitant Salmonella and Leptospira Meningitis: A Rare Case Report.

Rizwan Ullah, Aftab Ahmad, Yoalkris E Salcedo, Amir Hassan, Anuva Khanal, Aayush Chaulagain

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2024. 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, top 98% 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, 0 citations in OpenAlex.

  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

6 authors at 1 institution in 5 countries.

Rizwan UllahInternal Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Aftab AhmadGeriatrics, Cork University Hospital, Cork, IRL.
Yoalkris E SalcedoSurgery, Universidad Iberoamericana, Santo Domingo, DOM.
Amir HassanEmergency Medicine, Bronglais General Hospital, Aberystwyth, GBR.
Anuva KhanalInternal Medicine, Shaheed Ziaur Rahman Medical College and Hospital, Bogra, BGD.
Aayush ChaulagainInternal Medicine, Shaheed Ziaur Rahman Medical College and Hospital, Bogra, BGD.
Hayatabad Medical Complex · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study presents a unique case of concurrent salmonella and Leptospira meningitis in a 20-year-old woman with no prior medical history. Coinfection with endemic pathogens is plausible, especially in regions like Pakistan. While Salmonella meningitis is uncommon, it presents a significant medical emergency, particularly in immunocompromised adults. Neuroleptospirosis, though rare, can manifest in certain cases. The patient displayed persistent high fever, confusion, irritability, and a single seizure episode. Initial tests, including blood and cerebrospinal fluid (CSF) cultures and serological examinations, detected Salmonella typhi and positive leptospiral antibodies, respectively. Leptomeningeal enhancement was confirmed by an MRI. Treatment with azithromycin, meropenem, and ceftriaxone led to improvement after seven days. She was advised to complete a 28-day course for Salmonella meningitis. This case emphasizes the importance of considering multiple infectious causes, especially in endemic regions. Timely and thorough diagnostic evaluation, followed by appropriate antimicrobial therapy, is essential for effective management. Further research is warranted to enhance understanding of the epidemiology, clinical features, and optimal treatment strategies for such dual infections.

Indexed as

bacterial meningitisco-infectionconcomitantmeningitisneuroleptospirosisrare case reportsalmonella and leptospira meningitis

Identifiers

PMID38524012
PMCPMC10959034
OpenAlexW4392015662

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.