Evidence map›Paper›PMID 16199735›Full record

ArticleSexually transmitted infections2005

HIV-1 seronegativity in a child with proved perinatal HIV infection on HAART.

N Desai, M Mathur, K Abu-Lawi

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Sexually transmitted infections, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 60% of its field
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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
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

3 authors at 1 institution in 1 country.

N DesaiDepartment of Pediatrics and Pathology, Kings County Hospital Center, Brooklyn, NY 11203, USA. desain@nychhc.org
M Mathur
K Abu-Lawi
Kings County Hospital Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo report the unexpected absence of HIV-1 antibodies and provirus in the peripheral blood of a 4 year old with previously diagnosed perinatal HIV infection.

methodsCase study including review of clinic and laboratory records and confirmation of results of HIV-1 enzyme linked immunosorbent assay (ELISA), western blot, and HIV-1 DNA PCR from reference laboratory.

resultsThis child had high plasma viral load at the initiation of highly active antiretroviral therapy (HAART) at 10 months of age. Following undetectable HIV viraemia continuously for a 3 year period, he had normal CD4 and immunoglobulin levels. When retested at the request of the parent, HIV-1 ELISA, western blot, and HIV DNA PCR were all negative, raising the question of misdiagnosis and the parental misperception of a "cure." A rebound increase in viral load on cessation of therapy led to these diagnostic tests becoming positive again, with better parental acceptance of the diagnosis and treatment plan.

conclusionsPatients and providers should exercise caution in interpreting negative serological tests in children on HAART.

Indexed as

Antiretroviral Therapy, Highly ActiveHIV-1HIV SeronegativityAntibodies, ViralBlotting, WesternChild, PreschoolDNA, ViralEnzyme-Linked Immunosorbent AssayHIV InfectionsHumansPolymerase Chain ReactionRNA, ViralAntibodies, ViralDNA, ViralRNA, Viral

Identifiers

PMID16199735
PMCPMC1745045
OpenAlexW2150220025

What OpenQuestion holds

Textmetadata
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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 OpenQuestion graph.