Evidence map›Paper›PMID 42109710›Full record

ArticleIDCases2026

Pseudomonas aeruginosa meningitis complicated by cerebral vasculitis and ecthyma gangrenosum in a child: A case report and literature review.

Zohreh Shalchi, Nasibeh Ghalandari

Abstract readCase Reports
In one paragraph

Article in IDCases, 2026. 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
–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

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

2 authors.

Zohreh ShalchiHamadan University of Medical Sciences, Iran.
Nasibeh GhalandariHamadan University of Medical Sciences, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pseudomonas aeruginosa is a rare cause of community-acquired bacterial meningitis in children, typically associated with immunosuppression or neurosurgical interventions. We report a case of an 11-year-old boy with a family history suggestive of consanguinity who presented with fever, headache, and necrotic skin lesions consistent with ecthyma gangrenosum (EG). Cerebrospinal fluid (CSF) culture confirmed P. aeruginosa, and magnetic resonance imaging (MRI) revealed periventricular lesions indicative of cerebral vasculitis. Immunological evaluation suggested an underlying primary immunodeficiency. The patient recovered with antimicrobial therapy, surgical debridement, and intravenous immunoglobulin (IVIg), without corticosteroid use. This case highlights the rare triad of P. aeruginosa meningitis, cerebral vasculitis, and EG in a pediatric patient, emphasizing the need for early vascular imaging and immunodeficiency screening. A literature review compares similar cases and discusses diagnostic and therapeutic challenges.

Indexed as

Bacterial meningitisCerebral vasculitisEcthyma gangrenosumPediatric case reportPrimary immunodeficiencyPseudomonas aeruginosa

Identifiers

PMID42109710
PMCPMC13156991

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.