Evidence map›Paper›PMID 17409205›Full record

ArticleJournal of clinical microbiology2007

Frequent occult infection with Cytomegalovirus in cardiac transplant recipients despite antiviral prophylaxis.

Luciano Potena, Cecile T J Holweg, Marcy L Vana, Leena Bashyam, Jaya Rajamani, A Louise McCormick, John P Cooke, Hannah A Valantine, Edward S Mocarski

Erratum issuedAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Complications of Cardiac Transplantation.Current cardiology reports · 2018
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Acceleration of allograft failure by cytomegalovirus.Current opinion in immunology · 2007
    Review
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

9 authors.

Luciano PotenaDepartment of Medicine, Stanford University School of Medicine, Stanford, California, USA.
Cecile T J Holweg
Marcy L Vana
Leena Bashyam
Jaya Rajamani
A Louise McCormick
John P Cooke
Hannah A Valantine
Edward S Mocarski

Funding

Transplant Arteriosclerosis: Viral and Host MechanismP01AI050153 · NIAID · STANFORD UNIVERSITY · PI MOCARSKI, EDWARD S. · 2001 to 2005
$6.5M
NIAID NIH HHS P01 AI050153NIAID NIH HHS P01 AI50153
6 · The paper itself

Abstract

Despite antiviral prophylaxis, a high percentage (over 90%) of heart transplant patients experience active cytomegalovirus (CMV) infection, diagnosed by detection of viral DNA in peripheral blood polymorphonuclear leukocytes within the first few months posttransplantation. Viral DNA was detected in mononuclear cells prior to detection in granulocytes from CMV-seropositive recipients (R+) receiving a heart from a CMV-seropositive donor (D+). Based on assessment of systemic infection in leukocyte populations, both R+ subgroups (R+/D- and R+/D+) experienced a greater infection burden than the R-/D+ subgroup, which was aggressively treated because of a higher risk of acute CMV disease. Despite widespread systemic infection in all at-risk patient subgroups, CMV DNA was rarely (< 3% of patients) detected in transplanted heart biopsy specimens. The R+ patients more frequently exceeded the 75th percentile of the CMV DNA copy number distribution in leukocytes (110 copies/10(5) polymorphonuclear leukocytes) than the R-/D+ subgroup. Therefore, active systemic CMV infection involving leukocytes is common in heart transplant recipients receiving prophylaxis to reduce acute disease. Infection of the transplanted organ is rare, suggesting that chronic vascular disease attributed to CMV may be driven by the consequences of systemic infection.

Indexed as

ViremiaAdultAntiviral AgentsChemopreventionCytomegalovirusCytomegalovirus InfectionsDNA, ViralFemaleGanciclovirHeart TransplantationHumansImmunoglobulins, IntravenousImmunologic FactorsIncidenceMaleMiddle AgedAntiviral AgentsDNA, ViralGanciclovirImmunoglobulins, IntravenousImmunologic Factors

Identifiers

PMID17409205
PMCPMC1933112

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.