Evidence map›Paper›PMID 27647685›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2017

Acute West Nile Virus Meningoencephalitis Diagnosed Via Metagenomic Deep Sequencing of Cerebrospinal Fluid in a Renal Transplant Patient.

M R Wilson, L L Zimmermann, E D Crawford, H A Sample, P R Soni, A N Baker, L M Khan, J L DeRisi

Open access · hybridAbstract readCase Reports
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
11.2field-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

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 112 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. HPD-Kit: a comprehensive toolkit for pathogen detection and analysis.Frontiers in cellular and infection microbiology · 2025
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Transfusion-Transmitted Cache Valley Virus Infection in a Kidney Transplant Recipient With Meningoencephalitis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  17. Specificities of Meningitis and Meningo-Encephalitis After Kidney Transplantation: A French Retrospective Cohort Study.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  18. Review
  19. Review
  20. Article
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 at 3 institutions in 1 country.

M R WilsonDepartment of Biochemistry and Biophysics, University of California, San Francisco, CA.
L L ZimmermannDepartment of Neurosurgery, University of California, Los Angeles, CA.
E D CrawfordDepartment of Biochemistry and Biophysics, University of California, San Francisco, CA.
H A SampleDepartment of Biochemistry and Biophysics, University of California, San Francisco, CA.
P R SoniDivision of Infectious Diseases, Department of Pediatrics, University of California, Los Angeles, CA.
A N BakerDivision of Infectious Diseases, Department of Pediatrics, University of California, Los Angeles, CA.
L M KhanDepartment of Biochemistry and Biophysics, University of California, San Francisco, CA.
J L DeRisiDepartment of Biochemistry and Biophysics, University of California, San Francisco, CA.
University of California, Los Angeles · USUniversity of California, San Francisco · USHoward Hughes Medical Institute · US

Funding

Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
Next-Generation Diagnostics for Acute EncephalitisK08NS096117 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WILSON, MICHAEL R · 2017 to 2021
$999k
Howard Hughes Medical InstituteNCATS NIH HHS KL2 TR000143NINDS NIH HHS K08 NS096117
6 · The paper itself

Abstract

Solid organ transplant patients are vulnerable to suffering neurologic complications from a wide array of viral infections and can be sentinels in the population who are first to get serious complications from emerging infections like the recent waves of arboviruses, including West Nile virus, Chikungunya virus, Zika virus, and Dengue virus. The diverse and rapidly changing landscape of possible causes of viral encephalitis poses great challenges for traditional candidate-based infectious disease diagnostics that already fail to identify a causative pathogen in approximately 50% of encephalitis cases. We present the case of a 14-year-old girl on immunosuppression for a renal transplant who presented with acute meningoencephalitis. Traditional diagnostics failed to identify an etiology. RNA extracted from her cerebrospinal fluid was subjected to unbiased metagenomic deep sequencing, enhanced with the use of a Cas9-based technique for host depletion. This analysis identified West Nile virus (WNV). Convalescent serum serologies subsequently confirmed WNV seroconversion. These results support a clear clinical role for metagenomic deep sequencing in the setting of suspected viral encephalitis, especially in the context of the high-risk transplant patient population.

Indexed as

AdolescentFemaleGlomerular Filtration RateGraft RejectionGraft SurvivalHigh-Throughput Nucleotide SequencingHumansImmunocompromised HostImmunosuppressive AgentsKidney Failure, ChronicKidney Function TestsKidney TransplantationMeningoencephalitisMetagenomicsPrognosisRisk FactorsImmunosuppressive Agentsbasic (laboratory) research/scienceclinical research/practicediagnostic techniques and imaginggeneticsgenomicsinfection and infectious agentsinfectious diseasekidney (allograft) function/dysfunctionkidney transplantation/nephrologyviral: Epstein-Barr Virus (EBV)viral: West Nile, infection and infectious agents

Identifiers

PMID27647685
PMCPMC5347949
OpenAlexW2521168770

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.