Evidence map›Paper›PMID 25449172›Full record

ArticleJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2014

Identification of a novel intertypic recombinant species D human adenovirus in a pediatric stem cell transplant recipient.

Adriana E Kajon, Daryl Lamson, Matthew Shudt, Zacharoula Oikonomopoulou, Brian Fisher, Sarah Klieger, Kirsten St George, Richard L Hodinka

Abstract readCase Reports
In one paragraph

Article in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
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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

8 authors.

Adriana E KajonInfectious Disease Program, Lovelace Respiratory Research Institute, Albuquerque, NM, USA. Electronic address: akajon@lrri.org.
Daryl LamsonVirology Laboratory, Wadsworth Center, New York State Department of Health, Albany, NY, USA.
Matthew ShudtApplied Genomics Technologies Core, Wadsworth Center, New York State Department of Health, Albany, NY, USA.
Zacharoula OikonomopoulouDivision of Infectious Diseases, and The Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Brian FisherDivision of Infectious Diseases, and The Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Sarah KliegerDivision of Infectious Diseases, and The Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kirsten St GeorgeVirology Laboratory, Wadsworth Center, New York State Department of Health, Albany, NY, USA.
Richard L HodinkaDepartment of Pathology and Laboratory Medicine and Clinical Virology Laboratory, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

Funding

NIAID NIH HHS HHSN272201000040CNIAID NIH HHS HHSN272201000040INIAID NIH HHS HHSN272201100004CNIAID NIH HHS HHSN272201100040CPHS HHS HHSN2722011000040C
6 · The paper itself

Abstract

backgroundHuman adenoviruses (HAdV) are known opportunistic pathogens in hematopoietic stem cell transplant (SCT) recipients. The detection of HAdV infection in children after SCT has been implicated as a determinant of poor outcome but specific associations between HAdV species or individual HAdV types and disease are poorly understood.

objectivesCharacterization of a HAdV-D strain isolated from multiple clinical specimens of an 11-year-old female recipient of a matched unrelated donor peripheral SCT for T-cell lymphoma and case report. STUDY

designArchived HAdV PCR-positive plasma, urine, and stool specimens were processed for virus isolation and detailed molecular typing. Complete genomic sequencing was carried out on 2 isolates.

resultsThe patient tested positive for HAdV DNA by real-time PCR of a stool specimen at 44 days after initiation of a SCT conditioning regimen. In the subsequent 3 months, HAdV was detected in plasma, urine and stool specimens in association with symptoms of gastroenteritis and hemorrhagic cystitis. A novel HAdV-D with a HAdV20-like hexon gene was isolated from both urine and stool specimens. All isolates yielded identical restriction profiles with endonucleases BamHI, BglII, BstEII, HindIII, PstI and SmaI. Analysis of 2 complete genomic sequences further identified the virus as a novel intertypic recombinant HAdV-D (P20/H20/F42) closely related to HAdV42.

conclusionsThis case highlights the identification of a previously unknown HAdV-D from an immunocompromised host. In this patient, the course of adenovirus infection is compatible with reactivation of a latent virus or a primary opportunistic infection. Adenoviremia in this patient resolved without definitive adenovirus-directed antiviral therapy.

Indexed as

Transplant RecipientsAdenoviruses, HumanAdenovirus Infections, HumanChildDNA, ViralFecesFemaleGenome, ViralHumansMolecular Sequence DataPlasmaReal-Time Polymerase Chain ReactionSequence Analysis, DNAStem Cell TransplantationUrineDNA, ViralAdenovirusGenomic sequenceSpecies DTransplant

Identifiers

PMID25449172
PMCPMC4276453

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Registered trials

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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.