Evidence map›Paper›PMID 25405805›Full record

ArticleThe Pediatric infectious disease journal2015

Virology, immunology and pathology of human rabies during treatment.

Yolanda Caicedo, Andres Paez, Ivan Kuzmin, Michael Niezgoda, Lillian A Orciari, Pamela A Yager, Sergio Recuenco, Richard Franka, Andres Velasco-Villa, Rodney E Willoughby

Abstract readCase Reports
In one paragraph

Article in The Pediatric infectious disease journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 30 citations in OpenAlex.

  1. Demise of the Milwaukee Protocol for Rabies.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  2. Review
  3. Article
  4. Article
  5. Human rabies postexposure prophylaxis and rabid terrestrial animals in Ontario, Canada: 2014-2016.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2019
    Article
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 3 countries.

Yolanda CaicedoFrom the *Hospital Universitario del Valle, Cali, Colombia; †Laboratorio de Virología, Instituto Nacional de Salud (INS), Bogotá D.C., Colombia; ‡Rabies Program, Centers for Disease Control and Prevention, Atlanta, GA; §Infectious Diseases Pathology Branch, Centers for Disease Control and Prevention, Atlanta, GA; and ¶Medical College of Wisconsin, Milwaukee, WI.
Andres Paez
Ivan Kuzmin
Michael Niezgoda
Lillian A Orciari
Pamela A Yager
Sergio Recuenco
Richard Franka
Andres Velasco-Villa
Rodney E Willoughby
Centers for Disease Control and Prevention · UGCenters for Disease Control and Prevention · USHospital Universitario del Valle ESE · COInstituto Nacional de Salud · COMedical College of Wisconsin · US

Funding

Virus Clearance from the Central Nervous SystemR01AI093369 · NIAID · THOMAS JEFFERSON UNIVERSITY · PI FU, ZHEN F, HOOPER, DOUGLAS CRAIG · 2011 to 2015
$4.7M
Intramural CDC HHS CC999999NIAID NIH HHS 1R01AI093369NIAID NIH HHS R01 AI093369
6 · The paper itself

Abstract

backgroundRabies is an acute fatal encephalitis caused by all members of the Lyssavirus genus. The first human rabies survivor without benefit of prior vaccination was reported from Milwaukee in 2005. We report a second unvaccinated patient who showed early recovery from rabies and then died accidentally during convalescence, providing an unparalleled opportunity to examine the histopathology as well as immune and virological correlates of early recovery from human rabies.

methodsCase report, rapid fluorescent focus inhibition test, enzyme-linked immunosorbent assay, indirect and direct fluorescent antibody assays, reverse-transcriptase polymerase chain reaction, phylogenetic reconstruction, isolation in tissue culture, pathology and immunohistochemistry.

resultsThe 9 year old died 76 days after presenting with rabies of vampire bat phylogeny transmitted by cat bite. Antibody response in serum and cerebrospinal fluid was robust and associated with severe cerebral edema. No rabies virus was cultured at autopsy. Rabies virus antigen was atypical in size and distribution. Rabies virus genome was present in neocortex but absent in brainstem.

conclusionsClinical recovery was associated with detection of neutralizing antibody and clearance of infectious rabies virus in the central nervous system by 76 days but not clearance of detectable viral subcomponents such as nucleoprotein antigen or RNA in brain.

Indexed as

RabiesAnimalsAntibodies, ViralBites and StingsBrainBrain EdemaCatsChildColombiaDisease Models, AnimalFatal OutcomeFemaleHumansMiceRabies virusAntibodies, Viral

Identifiers

PMID25405805
PMCPMC4809748
OpenAlexW2061768881

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.