Evidence map›Paper›PMID 42153061›Full record

ArticleCureus2026

Recurrent Bacterial Meningitis in an Infant Caused by a Sacral Dermal Sinus Tract.

Samuel Stresemann, Mollie Westrick, Taylor Fitch, Omayma Amin

Abstract readCase Reports
In one paragraph

Article in Cureus, 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

4 authors.

Samuel StresemannDepartment of Pediatrics, Emory University School of Medicine, Atlanta, USA.
Mollie WestrickDepartment of Pediatrics, Emory University School of Medicine, Atlanta, USA.
Taylor FitchDepartment of Pediatrics, Emory University School of Medicine, Atlanta, USA.
Omayma AminDepartment of Pediatrics, Emory University School of Medicine, Atlanta, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital dermal sinus tract is a rare form of closed neural tube defect, connecting the epidermis to a deeper layer. It presents in only one in 2,500 live births. This connection between the outside world and the spinal cord is a nidus for bacterial meningitis and other infections, and dedicated imaging is essential in identifying such a tract. We present a case of a 9-month-old previously healthy male who repeatedly presented with intermittent fevers despite recurrent antibiotics. Cerebrospinal fluid (CSF) analysis consistently demonstrated neutrophilic pleocytosis, elevated protein, and hypoglycorrhachia, while extensive testing for autoimmune etiologies of fever was normal. Whole-body magnetic resonance imaging (MRI) and head computed tomography were negative. He developed an altered mental status, and CSF continued to suggest bacterial meningitis; CSF cultures grew

Indexed as

bacterial meningitiscongenital spinal anomalyfever of unknown originfever without a sourceintradural cystmagnetic resonance imagingrecurrent meningitissacral dermal sinus tractspinal dysraphism

Identifiers

PMID42153061
PMCPMC13180298

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.