Evidence map›Paper›PMID 40585722›Full record

ArticleCureus2025

Smear- and Polymerase Chain Reaction (PCR)-Negative Tuberculosis: A Case Series Highlighting Diagnostic Limitations and the Role of Escalation.

Dimitri Daraselia, Ani Toloraia, Salome Tsertsvadze, Marika Todua

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

4 authors.

Dimitri DaraseliaInternal Medicine, Tbilisi State Medical University, Tbilisi, GEO.
Ani ToloraiaInternal Medicine, Tbilisi State Medical University, Tbilisi, GEO.
Salome TsertsvadzeMedicine, Tbilisi State Medical University, Tbilisi, GEO.
Marika ToduaInnere Medizin, Christliches Krankenhaus Quakenbrück (CKQ), Quakenbrück, DEU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tuberculosis (TB) remains a major global health concern, and its diagnosis can be particularly challenging when microbiological tests yield negative results. We present two diagnostically complex cases, one pulmonary and one pleural, in which tuberculosis was confirmed only after extended clinical evaluation and diagnostic escalation, resulting in delays of approximately eight weeks and two weeks, respectively. The first patient, a 31-year-old asymptomatic man with recent TB exposure, underwent bronchoalveolar lavage (BAL), with smear microscopy and polymerase chain reaction (PCR) both negative; cultures remained negative after eight weeks. He was later readmitted with hemoptysis, and repeat BAL ultimately yielded a positive culture for

Indexed as

diagnostic delaydiagnostic escalationpcr-negative tbpleural tbpulmonary tbsmear-negative tb

Identifiers

PMID40585722
PMCPMC12206392

What OpenQuestion holds

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Registered trials

None linked

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.