Evidence map›Paper›PMID 42078271›Full record

ArticleCureus2026

Cervical Spondylosis Mimicking Meningitis in a Patient With High BMI: A Case Report.

Nidhi Kakkar

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

1 author.

Nidhi KakkarDepartment of Medicine for Older People, Stockport NHS Foundation Trust, Stockport, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This report describes the case of a 58-year-old female patient with a history of hypertension, dyslipidemia, and childhood asthma, who presented with neck stiffness, headache, and mild fever, raising concern for meningitis. Despite her high BMI and reluctance to undergo a lumbar puncture, she was initially treated with intravenous aciclovir and ceftriaxone while microbiological tests, including procalcitonin, ruled out bacterial infection. Laboratory markers, such as CRP and white blood cell count, improved over time, and cervical spine X-rays revealed cervical spondylosis with C4-C5 protrusion, explaining her symptoms. As a result, antimicrobial therapy was discontinued, and she was referred to a local spine specialist. This case underscores the need to consider cervical spine pathology as a differential diagnosis in patients with meningitis-like symptoms, particularly when invasive investigations are not feasible.

Indexed as

bacterial meningitiscervical disc herniationcervical spine disorderslumbar puncture (lp)procalcitonin

Identifiers

PMID42078271
PMCPMC13134472

What Socratic holds

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LicenceCC BY
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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 Socratic graph.