Evidence map›Paper›PMID 42375501›Full record

ArticleIDCases2026

A complex case of clinically diagnosed tuberculosis with hypercalcemia: Not missing the tree for the forest!

Shreya Barnawal, Akshar Patel, Abhishek Singhal, Upinder Kaur, Sankha Shubhra Chakrabarti

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

5 authors.

Shreya BarnawalInstitute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh 221005, India.
Akshar PatelInstitute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh 221005, India.
Abhishek SinghalDepartment of Geriatric Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh 221005, India.
Upinder KaurDepartment of Pharmacology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh 221005, India.
Sankha Shubhra ChakrabartiDepartment of Geriatric Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh 221005, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of tuberculosis in elderly patients often portends unexpected challenges due to multimorbidity. Although tuberculosis in endemic regions such as India may have varied manifestations, this may sometimes be misleading, and physicians may try to explain all symptoms and signs in a patient by tuberculosis, following the classical medical teaching of Occam's razor. Here we describe the case of an elderly gentleman with clinically diagnosed central nervous system tuberculosis and co-existent advanced chronic liver disease. The presence of comorbidities impaired the prescription of usual effective antitubercular therapy. In addition, the patient had hypercalcemia, which could have been mistakenly attributed to tuberculosis, but additional workup revealed a co-existing parathyroid adenoma, whose management plan was deferred.

Indexed as

AdenomaAntitubercularComorbiditiesLiver diseaseParathyroid

Identifiers

PMID42375501
PMCPMC13310639

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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.