Evidence map›Paper›PMID 39220423›Full record

ArticleIDCases2024

Postencephalitic syndrome with immune-mediated psychosis in an adult with meningitis due to

Bibiana Briceno, Michael Ariza-Varon, Nicole Pinzon, Juan-Sebastian Castro-Sepulveda, Laura Oviedo

Abstract readCase Reports
In one paragraph

Article in IDCases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Neuronal Autoantibodies in Adults After Community-Acquired Bacterial Meningitis.Neurology(R) neuroimmunology & neuroinflammation · 2025
    Observational
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.

Bibiana BricenoResident physician in the Psychiatry Department. Universidad del Rosario, Bogotá, Colombia.
Michael Ariza-VaronClinical Neurologist. Hospital Universitario Mayor - Méderi, Bogotá, Colombia.
Nicole PinzonResident physician in the Neurology Department. Universidad del Rosario, Bogotá, Colombia.
Juan-Sebastian Castro-SepulvedaInpatient physician. Hospital Universitario Mayor - Méderi, Bogotá, Colombia.
Laura OviedoResearch Coordinator. Neurology Unit. Hospital Universitario Mayor - Méderi, Bogotá, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: A first psychotic episode may be related to neurological diseases, especially encephalitis of infectious or autoimmune origin. It is remarkable that an immune-mediated encephalitis triggered by a confirmed subacute bacterial meningitis is documented, and this is the case we will present. Clinical case: A 22-year-old woman with no previous medical history, immunocompetent, with three months of behavioral, affective and cognitive symptoms with subsequent compromise of sensory perception and psychosis. Examination of cerebrospinal fluid showed inflammatory signs with positive FilmArray© for Discussion: Encephalitis is a neurological syndrome due to brain parenchymal damage that can result in psychiatric symptoms including psychosis and behavioral changes. Its causes are usually infectious (usually viral) or autoimmune (Anti NMDA, AMPA, LGI1 or others). A psychiatric condition in bacterial meningitis without improvement with antibiotic treatment is remarkable, its presence should suggest an immune-mediated post-infectious syndrome that may respond to the use of immunomodulators even in the absence of identification of autoimmune encephalitis-associated antibodies. No similar cases have been reported in the literature. Conclusion: Immune-mediated psychosis may be a manifestation of post-encephalitic syndrome associated with bacterial meningitis and its treatment with immunosuppressants may offer benefit in cases where the use of antipsychotics and antibiotics shows no improvement.

Indexed as

Autoimmune diseases of the nervous systemCentral Nervous System infectionsMeningitisMeningoencephalitisPsychotic DisordersStreptococcus pneumoniae

Identifiers

PMID39220423
PMCPMC11364120

What OpenQuestion holds

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Registered trials

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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.