Evidence map›Paper›PMID 19807272›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2009

Clinical correlates of herpes simplex virus viremia among hospitalized adults.

William R Berrington, Keith R Jerome, Linda Cook, Anna Wald, Lawrence Corey, Corey Casper

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

39 citing papers in PubMed, 90 citations in OpenAlex.

  1. Trial
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  6. The Procaine-Based ProcClusterInternational journal of molecular sciences · 2025
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  17. Point-of-critical-care diagnostics for sepsis enabled by multiplexed micro and nanosensing technologies.Wiley interdisciplinary reviews. Nanomedicine and nanobiotechnology · 2021
    Review
  18. Review
  19. Viral Involvement in Alzheimer's Disease.ACS chemical neuroscience · 2021
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

William R BerringtonDepartment of Medicine, University of Washington, Seattle, Washington, USA.
Keith R Jerome
Linda Cook
Anna Wald
Lawrence Corey
Corey Casper
University of Washington · USFred Hutch Cancer Center · US

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Grace C. John-Stewart · 1988 to 2026
$104.9M
THE PERINATAL COMPLICATIONS OF ASYMPTOMATIC GENITAL HERPES SIMPLEX VIRUSP01AI030731 · NIAID · UNIVERSITY OF WASHINGTON · PI MAGARET, AMALIA S. · 1991 to 2017
$34.3M
HOST DEFENSE TRAINING IN ALLERGY AND INFECTIOUS DISEASEST32AI007044 · NIAID · UNIVERSITY OF WASHINGTON · PI DAVID Neal FREDRICKS · 1985 to 2026
$14.6M
Clinical Research in HSV InfectionsK24AI071113 · NIAID · UNIVERSITY OF WASHINGTON · PI WALD, ANNA · 2006 to 2015
$1.7M
HHV-8 Transmission Among Men Who Have Sex with MenK23AI054162 · NIAID · UNIVERSITY OF WASHINGTON · PI CASPER, COREY · 2003 to 2008
$737k
The Role of Nod1 and Nod2 in the Pathogeneisis of Legionella Pneumophila PneumoniK08AI080952 · NIAID · UNIVERSITY OF WASHINGTON · PI BERRINGTON, WILLIAM RICHARD · 2009 to 2012
$623k
NIAID NIH HHS AI-030731NIAID NIH HHS AI-07044NIAID NIH HHS AI-54162NIAID NIH HHS K08 AI080952NIAID NIH HHS K23 AI054162NIAID NIH HHS K24 AI-071113NIAID NIH HHS K24 AI071113NIAID NIH HHS L30 AI075827NIAID NIH HHS P01 AI030731NIAID NIH HHS P30 AI027757NIAID NIH HHS T32 AI007044
6 · The paper itself

Abstract

backgroundQuantification of herpes simplex virus (HSV) DNA in the peripheral blood is often used to evaluate patients suspected of having disseminated HSV infection. Few studies have examined the clinical correlates of HSV viremia among adults.

methodsWe conducted a retrospective analysis of blood samples sent to a molecular virology reference laboratory at a university hospital for quantification of HSV DNA from October 2001 through June 2006. Medical records of patients with detectable HSV DNA were reviewed to abstract relevant clinical characteristics.

resultsHSV DNA was detected in 38 (4%) of 951 samples from 29 patients, 19 of whom (66%) were >16 years old. Detailed medical records were available for review from 13 (68%) of 19 adult patients. Of the 10 patients whose HSV infection was typed, 6 (60%) had HSV-2, 3 (30%) had HSV-1, and 1 (10%) had evidence of HSV-1 and HSV-2 coinfection. All patients with viremia were treated with antiviral medications. The most common clinical findings were hepatitis (62%), fever (54%), central nervous system alterations (46%), skin lesions (38%), abdominal pain (31%), and sepsis (31%). Respiratory failure (23%) was uncommon. Patients with HSV viremia were observed to have a high mortality rate (6 of 10 immunocompromised and 1 of 3 immunocompetent individuals).

conclusionsHSV viremia may be associated with a variety of signs and symptoms of morbidity in immunocompetent and immunocompromised hospitalized adults and is associated with high rates of mortality, although causality can be determined only by additional studies.

Indexed as

AdultAgedAntiviral AgentsCentral Nervous System DiseasesDNA, ViralFemaleFeverGenotypeHepatitisHumansImmunocompetenceImmunocompromised HostMaleMiddle AgedPolymerase Chain ReactionSepsisAntiviral AgentsDNA, Viral

Identifiers

PMID19807272
PMCPMC2803101
OpenAlexW2135120672

What OpenQuestion holds

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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.