Evidence map›Paper›PMID 39370524›Full record

ArticleBMC infectious diseases2024

Acute necrotizing encephalopathy caused by bacterial infection.

Shenglan Hu, Weiqian Yan, Hainan Zhang, Lixia Qin

Abstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Shenglan Hu *Department of Neurology, The Second Xiangya Hospital, Central South University, 139# Renmin Road, Changsha, Hunan, 410011, China.
Weiqian Yan *Department of Neurology, The Second Xiangya Hospital, Central South University, 139# Renmin Road, Changsha, Hunan, 410011, China.
Hainan ZhangDepartment of Neurology, The Second Xiangya Hospital, Central South University, 139# Renmin Road, Changsha, Hunan, 410011, China.
Lixia QinDepartment of Neurology, The Second Xiangya Hospital, Central South University, 139# Renmin Road, Changsha, Hunan, 410011, China. qinlixia1027@csu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcute necrotizing encephalopathy (ANE), a rare and severe brain disorder, is typically linked to prior infections. ANE predominantly affects children, with most reported cases attributed to viral infections. However, instances of bacterial-induced ANE are infrequent. Here, we present a case of adult-onset ANE associated with bacterial infection. CASE DESCRIPTIONS: The patient exhibited a hyperinflammatory state following a urinary tract bacterial infection, with neurological function rapidly declining into a coma as the illness progressed. Gram culture of blood suggested Escherichia coli infection. A magnetic resonance imaging (MRI) scan of the brain showed symmetrical hyperintense lesions involving bilateral thalami and pons in T2-weighted and fluid-attenuated inversion recovery images. These lesions also presented with diffuse cerebral edema and diffusion restriction and subacute hemorrhage. Based on clinical symptoms and typical brain MRI, ANE was diagnosed, and the patient underwent immunotherapy.

conclusionsThis case underscores the occurrence of ANE triggered by bacterial infection, expanding our understanding of the pathogens associated with this condition. It suggests that ANE may be an immune-mediated disorder rather than solely an infectious disease.

Indexed as

Escherichia coli InfectionsLeukoencephalitis, Acute HemorrhagicMagnetic Resonance ImagingBrainEscherichia coliHumansUrinary Tract InfectionsAcute necrotizing encephalopathyAdult-onsetBacterial infectionPathognomonic MRIs

Identifiers

PMID39370524
PMCPMC11457441

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