Evidence map›Paper›PMID 28224486›Full record

ArticleJournal of neurovirology2017

Human herpes virus-6 encephalitis causing severe anterograde amnesia associated with rituximab, azathioprine and prednisolone combination therapy for dermatomyositis.

Thomas Baumer, Charlie Fry, Sebastian Luppe, Harsha Gunawardena, Kasia Sieradzan

Abstract readCase Reports
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In one paragraph

Article in Journal of neurovirology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. HSV encephalitis associated with off-label rituximab treatment of multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  4. Article
  5. Review
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

5 authors at 2 institutions in 1 country.

Thomas BaumerDepartment of Neurosciences, North Bristol NHS Trust, Southmead Hospital, Bristol, UK. tb2001uk@hotmail.com.
Charlie FryDepartment of Neurosciences, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
Sebastian LuppeDepartment of Neurosciences, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
Harsha GunawardenaDepartment of Rheumatology, Autoimmune CTD and Vasculitis, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
Kasia SieradzanDepartment of Neurosciences, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
North Bristol NHS Trust · GBSouthmead Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human herpes virus-6 (HHV-6) reactivation is a well-recognised complication following haematological stem cell transplantation, but it is novel in the context of combination immunomodulatory therapy for autoimmune disease. We report a case of severe anterograde amnesia caused by HHV-6 encephalitis in a young female patient on rituximab, azathioprine and prednisolone for dermatomyositis (DM). The use of targeted biologic treatments for systemic autoimmune connective tissue diseases (CTDs) is increasing, particularly when refractory to conventional management. The anti-CD20 B cell depleting monoclonal antibody, rituximab is now increasingly used, often in combination with conventional immunomodulatory treatments, in certain autoimmune neurological conditions and systemic CTDs including DM. Physicians should be aware of the possibility of HHV-6 in those who develop encephalitis while CD20 B cell deplete, especially in the presence of additional immunomodulatory therapies. Prompt diagnosis and treatment of HHV-6 encephalitis with evidence-based anti-viral therapy may help reduce the extent of irreversible morbidity such as amnesia.

Indexed as

AcyclovirAdultAmnesia, AnterogradeAntiviral AgentsAzathioprineB-LymphocytesDermatomyositisEncephalitis, ViralFemaleHerpesvirus 6, HumanHumansImmunologic FactorsLymphocyte DepletionPenicillanic AcidPiperacillinPiperacillin, Tazobactam Drug CombinationAcyclovirAntiviral AgentsAzathioprineImmunologic FactorsPenicillanic AcidPiperacillinPiperacillin, Tazobactam Drug CombinationPrednisoloneRituximabAmnesiaDermatomyositisEncephalitisHHV-6Rituximab

Identifiers

PMID28224486
OpenAlexW2589333670

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.