Evidence map›Paper›PMID 42796696›Full record

Observational studyPathogens (Basel, Switzerland)2026

Tuberculous Meningitis in Pediatric Patients: Diagnosis, Clinical Course, and Outcomes in the Modern Era.

Irina Vasilyeva, Nadezhda Klevno, Aleksey Kazakov, Aziza Pakhlavonova, Alena Prikhodko, Ekaterina Sokolskaya, Elizaveta Zakharova, Ksenia Rudakova, Alexandr Chuishchev, Inga Enilenis and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Pathogens (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

11 authors.

Irina VasilyevaNational Medical Research Center of Phthisiopulmonology and Infectious Diseases, Ministry of Health of the Russian Federation, Moscow 127473, Russia.
Nadezhda KlevnoNational Medical Research Center of Phthisiopulmonology and Infectious Diseases, Ministry of Health of the Russian Federation, Moscow 127473, Russia.
Aleksey KazakovNational Medical Research Center of Phthisiopulmonology and Infectious Diseases, Ministry of Health of the Russian Federation, Moscow 127473, Russia.ORCID 0000-0003-2367-545X
Aziza PakhlavonovaNational Medical Research Center of Phthisiopulmonology and Infectious Diseases, Ministry of Health of the Russian Federation, Moscow 127473, Russia.
Alena PrikhodkoNational Medical Research Center of Phthisiopulmonology and Infectious Diseases, Ministry of Health of the Russian Federation, Moscow 127473, Russia.ORCID 0009-0009-1518-4555
Ekaterina SokolskayaNational Medical Research Center of Phthisiopulmonology and Infectious Diseases, Ministry of Health of the Russian Federation, Moscow 127473, Russia.
Elizaveta ZakharovaNational Medical Research Center of Phthisiopulmonology and Infectious Diseases, Ministry of Health of the Russian Federation, Moscow 127473, Russia.
Ksenia RudakovaNational Medical Research Center of Phthisiopulmonology and Infectious Diseases, Ministry of Health of the Russian Federation, Moscow 127473, Russia.
Alexandr ChuishchevSechenov First Moscow State Medical University (Sechenov University), Moscow 119991, Russia.
Inga EnilenisSechenov First Moscow State Medical University (Sechenov University), Moscow 119991, Russia.ORCID 0000-0001-5948-8643
Ivan MartelSechenov First Moscow State Medical University (Sechenov University), Moscow 119991, Russia.ORCID 0000-0001-7514-7320

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tuberculous meningitis (TBM) is a critically severe form of extrapulmonary tuberculosis in pediatric patients, presenting a significant diagnostic challenge during the early stages of clinical manifestation. Delayed recognition of meningeal tuberculous inflammation leads to the involvement of the brain parenchyma (encephalitis) and may result in irreversible neurological sequelae.

objectiveTo evaluate the clinical features, the spectrum of complications, and the acute outcomes of tuberculous meningitis in pediatric patients managed at a tertiary reference center. MATERIALS AND

methodsA retrospective observational study of 21 medical records was conducted for pediatric patients aged 3 months to 17 years (mean age: 6.7 ± 5.8 years) with a confirmed TBM diagnosis. The study included pediatric patients treated in the inpatient pediatric department (

resultsA history of contact with a tuberculosis patient was established in 62% (13/21) of cases. At initial presentation, fever was recorded in 67% (14/21) of patients, nausea and/or vomiting in 52% (11/21), headache in 33% (7/21), and meningeal signs in 38% (8/21). The majority of patients (52%, 11/21) had not received BCG vaccination.

conclusionIn this tertiary pediatric cohort, TBM presented predominantly as a severe form of meningoencephalitis with extensive brain parenchymal involvement and high rates of systemic dissemination, frequently complicated by hydrocephalus, motor deficits, and seizures. Epileptic seizures showed an exploratory statistical trend toward an association with unfavorable neurological outcomes (

Indexed as

Mycobacterium tuberculosisTuberculosis, MeningealAdolescentAntitubercular AgentsChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesTreatment OutcomeAntitubercular AgentsBCG vaccinationchildrencomplicationsencephalitismultidrug resistance (MDR-TB)outcomestuberculous meningitis

Identifiers

PMID42796696
PMCPMC13610865

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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.