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A fatal case of tuberculous meningitis in a child with juvenile idiopathic arthritis: a diagnostic challenge

Overview of attention for article published in Revista da Sociedade Brasileira de Medicina Tropical, September 2017
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Title
A fatal case of tuberculous meningitis in a child with juvenile idiopathic arthritis: a diagnostic challenge
Published in
Revista da Sociedade Brasileira de Medicina Tropical, September 2017
DOI 10.1590/0037-8682-0410-2016
Pubmed ID
Authors

Zumrut Sahbudak Bal, Pinar Yazici, Semra Sen, Cenk Eraslan, Cengiz Cavusoglu, Bulent Karapinar, Fadil Vardar

Abstract

The prognosis of tuberculous meningitis, a rare form of extrapulmonary tuberculosis, depends on the stage of treatment initiation. We report a fatal case of tuberculous meningitis. The patient had received successive tumor necrosis factor (TNF) antagonists and abatacept to treat juvenile idiopathic arthritis, with negative results for polymerase chain reaction and acid-fast bacilli on smear, had normal cerebrospinal fluid (CSF) adenosine deaminase and glucose levels. Six weeks post-admission, the CSF culture demonstrated Mycobacterium tuberculosis. The altered immunological responses caused by anti-TNF treatment made the diagnosis challenging. Clinicians should bear this in mind and, if suspected, treatment should be initiated immediately.

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The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 37 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 37 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 7 19%
Student > Doctoral Student 5 14%
Student > Ph. D. Student 5 14%
Student > Bachelor 4 11%
Student > Master 3 8%
Other 2 5%
Unknown 11 30%
Readers by discipline Count As %
Medicine and Dentistry 16 43%
Pharmacology, Toxicology and Pharmaceutical Science 2 5%
Nursing and Health Professions 2 5%
Immunology and Microbiology 2 5%
Environmental Science 1 3%
Other 4 11%
Unknown 10 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 November 2017.
All research outputs
#20,452,930
of 23,008,860 outputs
Outputs from Revista da Sociedade Brasileira de Medicina Tropical
#451
of 595 outputs
Outputs of similar age
#276,152
of 316,299 outputs
Outputs of similar age from Revista da Sociedade Brasileira de Medicina Tropical
#11
of 13 outputs
Altmetric has tracked 23,008,860 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 595 research outputs from this source. They receive a mean Attention Score of 2.8. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 316,299 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 13 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.