Evidence map›Paper›PMID 39931314›Full record

ArticleRespirology case reports2025

Rapidly Progressive Pulmonary Alveolar Proteinosis Following Cryptococcal Infection: Case Report and Literature Review.

Samuel Cartmel Brookes, Alexandra Sadler, Alexander Troelnikov, Pravin Hissaria, Michael Vickery Brown, Phan Nguyen, Julia Kim, Paroma Sarkar

Abstract read
In one paragraph

Article in Respirology case reports, 2025. 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

8 authors.

Samuel Cartmel BrookesDepartment of Thoracic Medicine Royal Adelaide Hospital Adelaide South Australia Australia.ORCID https://orcid.org/0009-0006-8429-7527
Alexandra SadlerDepartment of Thoracic Medicine Royal Adelaide Hospital Adelaide South Australia Australia.
Alexander TroelnikovImmunology SA Pathology Adelaide South Australia Australia.ORCID https://orcid.org/0000-0002-7239-3814
Pravin HissariaFaculty of Health and Medical Sciences University of Adelaide Adelaide South Australia Australia.
Michael Vickery BrownDepartment of Thoracic Medicine Royal Adelaide Hospital Adelaide South Australia Australia.ORCID https://orcid.org/0000-0002-6678-1407
Phan NguyenDepartment of Thoracic Medicine Royal Adelaide Hospital Adelaide South Australia Australia.
Julia KimDepartment of Thoracic Medicine Royal Adelaide Hospital Adelaide South Australia Australia.
Paroma SarkarDepartment of Thoracic Medicine Royal Adelaide Hospital Adelaide South Australia Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary alveolar proteinosis (PAP) is a rare disease caused by accumulation of sediment within alveoli. Cryptococcosis a fungal infection typically presenting with central nervous system (CNS) and pulmonary disease. Granulocyte-macrophage colony-stimulating factor antibodies are associated with PAP and elevated risk of cryptococcosis. The usual interval from cryptococcal infection to the onset of PAP spans several years. Here, we describe a case of a 24-year-old Aboriginal Australian woman with no prior medical history, who presented with seizures from CNS cryptococcosis, and subsequently developed rapidly progressive hypoxic respiratory failure secondary to autoimmune-PAP within weeks of initial presentation. The rate and degree of respiratory failure necessitated urgent bilateral whole lung lavage (WLL) whilst on venovenous-extracorporeal membrane oxygenation. Our report hopes to increase recognition of PAP in the Australian population, document the utility and risks of bilateral WLL in the critically unwell patient and provide an updated literature review of PAP and cryptococcal infection.

Indexed as

cryptococcosisCryptococcus gattiiextracorporeal membrane oxygenationpulmonary alveolar proteinosiswhole lung lavage

Identifiers

PMID39931314
PMCPMC11810437

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.