Evidence map›Paper›PMID 42311715›Full record

ArticleCureus2026

Autoimmune Pulmonary Alveolar Proteinosis in a Patient With Chronic Disseminated Blastomycosis: A Case Report.

Michael Obregon, Samar Waqar, M Haitham Bakir, Zainab Alnafoosi, Ali Zubairi

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

5 authors.

Michael ObregonPulmonary and Critical Care Medicine, Southern Illinois University School of Medicine, Springfield, USA.
Samar WaqarInfectious Diseases, Southern Illinois University School of Medicine, Springfield, USA.
M Haitham BakirPulmonary and Critical Care Medicine, Southern Illinois University School of Medicine, Springfield, USA.
Zainab AlnafoosiInfectious Diseases, Southern Illinois University School of Medicine, Springfield , USA.
Ali ZubairiPulmonary and Critical Care Medicine, Southern Illinois University School of Medicine, Springfield, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary alveolar proteinosis (PAP) is a rare diffuse lung disease characterized by the intra-alveolar accumulation of surfactant, leading to progressive gas exchange impairment. While autoimmune PAP, driven by granulocyte-macrophage colony-stimulating factor (GM-CSF) autoantibodies, accounts for the majority of cases, its association with chronic fungal infections is exceedingly rare. Only one prior case of PAP occurring in the setting of active blastomycosis has been documented since 1995. We present a unique case of a patient with chronic disseminated blastomycosis who developed worsening respiratory failure due to the development of autoimmune PAP. It highlights the importance of broadening the differential diagnosis when patients with known pulmonary infections fail to respond to appropriate antimicrobial therapy.

Indexed as

autoimmune pulmonary alveolar proteinosis (pap)crazy-paving patterndisseminated blastomycosisdisseminated fungal infectiongranulocyte-macrophage colony-stimulating factor (gm-csf) autoantibodypulmonary alveolar proteinosis (pap)

Identifiers

PMID42311715
PMCPMC13271758

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.