Evidence map›Paper›PMID 40416201›Full record

ArticleCureus2025

Varicella-Zoster Virus Meningitis With Hypoglycorrhachia Mimicking Tuberculous Meningitis: A Case Report.

Sho Matsushita, Yoji Hirayama, Yoriko Matsuyama, Tatsuya Aoki, Ryosuke Horitani

Abstract readCase Reports
In one paragraph

Article in Cureus, 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. Medulloblastoma masquerading as tuberculous meningitis in a pediatric patient.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    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

5 authors.

Sho MatsushitaDepartment of General Internal Medicine, Hashimoto Municipal Hospital, Hashimoto, JPN.
Yoji HirayamaDepartment of General Internal Medicine, Hashimoto Municipal Hospital, Hashimoto, JPN.
Yoriko MatsuyamaDepartment of General Internal Medicine, Hashimoto Municipal Hospital, Hashimoto, JPN.
Tatsuya AokiDepartment of General Internal Medicine, Hashimoto Municipal Hospital, Hashimoto, JPN.
Ryosuke HoritaniDepartment of General Internal Medicine, Hashimoto Municipal Hospital, Hashimoto, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Varicella-Zoster virus (VZV) meningitis poses diagnostic challenges and often presents with atypical clinical and laboratory findings. We present a case of VZV meningitis with hypoglycorrhachia mimicking tuberculous meningitis (TBM). A 65-year-old Japanese woman with a past history of successfully treated tuberculosis presented with a persistent headache. Cerebrospinal fluid (CSF) analysis showed lymphocytic pleocytosis and hypoglycorrhachia (CSF glucose: 43 mg/dL, CSF-to-serum glucose ratio: 0.34) with borderline elevated adenosine deaminase ADA level (9.1 IU/L), raising concern for TBM. Head computed tomography (CT) was unremarkable, and chest CT showed only calcified nodules consistent with prior tuberculous infection. The patient met the criteria for

Indexed as

hypoglycorrhachiameningitismultiplex pcrtuberculosisvaricella-zoster virus

Identifiers

PMID40416201
PMCPMC12103946

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.