Evidence map›Paper›PMID 27796621›Full record

ArticlePediatric nephrology (Berlin, Germany)2017

Fatal disseminated cowpox virus infection in an adolescent renal transplant recipient.

Paul Gazzani, Joanna E Gach, Isabel Colmenero, Jeff Martin, Hugh Morton, Kevin Brown, David V Milford

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Poxvirus Epidemiology.Methods in molecular biology (Clifton, N.J.) · 2025
    Review
  4. Review
  5. Article
  6. Poxviruses in Children.Advances in experimental medicine and biology · 2024
    Review
  7. Review
  8. Antivirals With Activity Against Mpox: A Clinically Oriented Review.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Cowpox Virus: A New and Armed Oncolytic Poxvirus.Molecular therapy oncolytics · 2017
    Article
  16. Article
  17. 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

7 authors at 3 institutions in 1 country.

Paul GazzaniDermatology Department, Birmingham Children's Hospital, Birmingham, UK. p.gazzani@nhs.net.
Joanna E GachDermatology Department, Birmingham Children's Hospital, Birmingham, UK.
Isabel ColmeneroHistopathology Department, Birmingham Children's Hospital, Birmingham, UK.
Jeff MartinIntensive Care Department, Birmingham Children's Hospital, Birmingham, UK.
Hugh MortonMicrobiology Department, Worcestershire Royal Hospital, Worcester, UK.
Kevin BrownVirus Reference Department, Public Health England, London, UK.
David V MilfordNephrology Department, Birmingham Children's Hospital, Birmingham, UK.
Birmingham Children's Hospital · GBPublic Health England · GBWorcestershire Royal Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA 17-year-old boy on long-term immunosuppression following renal transplantation for chronic kidney disease (CKD), the result of dysplastic kidneys, initially presented with a swelling in his neck while attending hospital for an unrelated problem. A clinical diagnosis of tonsillitis was made, and he was treated with broad-spectrum antibiotics. Over a few days, his condition deteriorated, and he developed multiple vesicopustular skin lesions and required an emergency tonsillectomy due to respiratory distress. CASE DIAGNOSIS/TREATMENT: Histological investigation of the skin and tonsillar tissue suggested a viral aetiology, and subsequent electron microscopy and polymerase chain reaction (PCR) tissue examination proved disseminated cowpox infection. The family cat, which was reported as having self-resolving sores on its skin, was likely the source of the infection. The child failed to respond to antiviral treatment and succumbed to multiorgan failure within a month of admission.

conclusionsWe report this case of fatal disseminated cowpox infection to highlight an increasing risk of this illness in the post-transplant population and to detail some unusual features not previously described, such as tonsillar involvement, disseminated skin lesions and multiorgan failure.

Indexed as

AdolescentAnti-Bacterial AgentsCowpoxCowpox virusFatal OutcomeHumansKidney TransplantationMaleMultiple Organ FailurePolymerase Chain ReactionRenal Insufficiency, ChronicSkin DiseasesTonsillitisTransplant RecipientsAnti-Bacterial AgentsCow poxFatal/deathImmunosuppressionPaediatricTransplant

Identifiers

PMID27796621
OpenAlexW2545440664

What OpenQuestion holds

Textmetadata
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.