Evidence map›Paper›PMID 39583423›Full record

ArticleCureus2024

"Pardon My Language": The Curious Case of a Bloody Sandwich and the John Cunningham Virus Reactivation in the Era of Immunomodulatory Drugs.

Francis Guerra-Bauman, Jessica E Tseng, Asfandyar Latif, Chloe Cohan, Jason Assalita, Abdul Waheed

Abstract 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 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. 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.

Francis Guerra-BaumanDepartment of Family Medicine, Good Samaritan Hospital, Lebanon, USA.
Jessica E TsengDepartment of Family Medicine, Creighton University School of Medicine, Phoenix, USA.
Asfandyar LatifDepartment of Family Medicine, WellSpan Good Samaritan Hospital, Lebanon, USA.
Chloe CohanDepartment of Family Medicine, Creighton University School of Medicine, Phoenix, USA.
Jason AssalitaDepartment of Family Medicine, Family Medicine Residency Program, WellSpan Good Samaritan Hospital, Lebanon, USA.
Abdul WaheedDepartment of Family and Community Medicine, Creighton University School of Medicine, Phoenix, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progressive multifocal leukoencephalopathy (PML) is a rare diagnosis associated with high mortality in different clinical settings. PML has been attributed to the reactivation of the John Cunningham (JC) virus (JCV). JCV typically affects patients with HIV/AIDS, solid organ and hematological malignancies, and those under treatment with immunomodulatory drugs (IMiDs) like pomalidomide. Currently, there are a limited number of reported cases of patients with multiple myeloma (MM) who developed PML reported in the literature, and one case report of a patient with MM diagnosed with PML in association with pomalidomide and daratumumab. Here, we describe a case of PML in a patient with MM status post autologous stem cell transplant (ASCT) on maintenance treatment with pomalidomide who presented with cognitive decline and aphasia. In an era of increased access to immunomodulatory therapies, physicians should be able to recognize this potential complication as discontinuation of the medication could be lifesaving.

Indexed as

immunosupressantsjc virusmultiple myelomapomalidomideprogressive multifocal leukoencephalopathy

Identifiers

PMID39583423
PMCPMC11585329

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.