Evidence map›Paper›PMID 21812671›Full record

ArticleThe New England journal of medicine2011

Emergence of a new pathogenic Ehrlichia species, Wisconsin and Minnesota, 2009.

Bobbi S Pritt, Lynne M Sloan, Diep K Hoang Johnson, Ulrike G Munderloh, Susan M Paskewitz, Kristina M McElroy, Jevon D McFadden, Matthew J Binnicker, David F Neitzel, Gongping Liu and 15 more

Open access · bronzeAbstract read
In one paragraph

Article in The New England journal of medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 5 pooled it
12.4field-weighted citation impact, top 1% 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

127 citing papers in PubMed, 5 syntheses or guidelines pooled it, 289 citations in OpenAlex.

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67 more citing papers are in PubMed but not listed here.

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

25 authors at 8 institutions in 1 country.

Bobbi S PrittMayo Clinic, Division of Clinical Microbiology, Hilton 470-B, 200 1st St. SW, Rochester, MN 55905, USA. pritt.bobbi@mayo.edu
Lynne M Sloan
Diep K Hoang Johnson
Ulrike G Munderloh
Susan M Paskewitz
Kristina M McElroy
Jevon D McFadden
Matthew J Binnicker
David F Neitzel
Gongping Liu
William L Nicholson
Curtis M Nelson
Joni J Franson
Scott A Martin
Scott A Cunningham
Christopher R Steward
Kay Bogumill
Mary E Bjorgaard
Jeffrey P Davis
Jennifer H McQuiston
David M Warshauer
Mark P Wilhelm
Robin Patel
Vipul A Trivedi
Marina E Eremeeva
Mayo Clinic · USMayo Clinic Health System · USMinnesota Department of Health · USUniversity of Minnesota · USWisconsin Division of Public Health · USMayo Clinic in Arizona · USUniversity of Wisconsin–Eau Claire · USUniversity of Wisconsin–Madison · US

Funding

Tick-Mammal Interface of Human Granulocytic AnaplasmosisR01AI042792 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MUNDERLOH, ULRIKE GERTRUD · 2005 to 2020
$8.7M
NIAID NIH HHS R01 AI042792PHS HHS 5U50C1000483-03
6 · The paper itself

Abstract

backgroundEhrlichiosis is a clinically important, emerging zoonosis. Only Ehrlichia chaffeensis and E. ewingii have been thought to cause ehrlichiosis in humans in the United States. Patients with suspected ehrlichiosis routinely undergo testing to ensure proper diagnosis and to ascertain the cause.

methodsWe used molecular methods, culturing, and serologic testing to diagnose and ascertain the cause of cases of ehrlichiosis.

resultsOn testing, four cases of ehrlichiosis in Minnesota or Wisconsin were found not to be from E. chaffeensis or E. ewingii and instead to be caused by a newly discovered ehrlichia species. All patients had fever, malaise, headache, and lymphopenia; three had thrombocytopenia; and two had elevated liver-enzyme levels. All recovered after receiving doxycycline treatment. At least 17 of 697 Ixodes scapularis ticks collected in Minnesota or Wisconsin were positive for the same ehrlichia species on polymerase-chain-reaction testing. Genetic analyses revealed that this new ehrlichia species is closely related to E. muris.

conclusionsWe report a new ehrlichia species in Minnesota and Wisconsin and provide supportive clinical, epidemiologic, culture, DNA-sequence, and vector data. Physicians need to be aware of this newly discovered close relative of E. muris to ensure appropriate testing, treatment, and regional surveillance. (Funded by the National Institutes of Health and the Centers for Disease Control and Prevention.).

Indexed as

AnimalsEhrlichiaEhrlichiosisFemaleHumansIxodesMaleMiddle AgedMinnesotaPhylogenyPolymerase Chain ReactionWisconsinYoung AdultZoonoses

Identifiers

PMID21812671
PMCPMC3319926
OpenAlexW2104163524

What OpenQuestion holds

Textmetadata
LicenceTDM
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.