Evidence map›Paper›PMID 28438128›Full record

ArticleBMC infectious diseases2017

Viral aetiologies of acute encephalitis in a hospital-based South Asian population.

Janarthani Lohitharajah, Neelika Malavige, Carukshi Arambepola, Jithangi Wanigasinghe, Ranjanie Gamage, Padma Gunaratne, Pyara Ratnayake, Thashi Chang

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.7field-weighted citation impact, top 24% 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

14 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Global Landscape of Encephalitis: Key Priorities to Reduce Future Disease Burden.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
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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 at 4 institutions in 1 country.

Janarthani LohitharajahDepartment of Pathophysiology, Eastern University, Colombo, Sri Lanka.
Neelika MalavigeDepartment of Microbiology, University of Sri Jayawardenapura, Nugegoda, Sri Lanka.
Carukshi ArambepolaDepartment of Community Medicine, University of Colombo, Colombo, Sri Lanka.
Jithangi WanigasingheDepartment of Paediatrics, University of Colombo, Colombo, Sri Lanka.
Ranjanie GamageNational Hospital of Sri Lanka, Colombo, Sri Lanka.
Padma GunaratneNational Hospital of Sri Lanka, Colombo, Sri Lanka.
Pyara RatnayakeLady Ridgeway Hospital for children, Colombo, Sri Lanka.
Thashi ChangDepartment of Clinical Medicine, Faculty of Medicine - University of Colombo, 25, Kynsey Road, Colombo, 00800, Sri Lanka. thashichang@gmail.com.ORCID 0000-0002-6027-7883
University of Colombo · LKNational Hospital of Sri Lanka · LKLady Ridgeway Hospital for Children · LKUniversity of Sri Jayewardenepura · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aetiological spectrum of acute encephalitis shows inter- and intra-geographical variations. We aimed to identify the viruses that cause infectious encephalitis in Sri Lanka, which represents a South Asian population.

methodsA cross-sectional study was conducted among 99 patients with encephalitis/meningoencephalitis admitted to two tertiary-care hospitals in Colombo. Cerebrospinal fluid and serum were tested for conventional and emerging encephalitogenic viruses. Specific nucleic acid amplification and antibody assays were used to identify viruses. Plaque reduction neutralization test was done to confirm the diagnosis of West Nile virus (WNV).

resultsPatients' age ranged from 1 month to 73 years (mean = 24.91; SD = 21.33) with a male:female ratio of 1.75:1. A viral aetiology was identified in only 27.3%. These included dengue virus (40.7%), Japanese encephalitis virus (25.9%), varicella zoster virus, WNV and probable Epstein Barr virus (11.1% each). None were positive for herpes simplex viruses or cytomegalovirus. Screening for bacterial aetiologies was negative for all patients. There were no distinguishable clinical or laboratory findings between the different viral aetiologies. The case fatality rate was 7%, which was higher among patients with an identified viral aetiology.

conclusionsA viral aetiology was identified in only about a quarter of patients with encephalitis. Dengue virus accounted for the majority.

Indexed as

Acute DiseaseAdolescentAdultAgedAntibodies, ViralChildChild, PreschoolCross-Sectional StudiesDengue VirusEncephalitis, ViralEncephalitis Virus, JapaneseFemaleHerpesvirus 3, HumanHumansInfantMaleAntibodies, ViraldengueencephalitisSouth AsiaSri LankavirusWNV

Identifiers

PMID28438128
PMCPMC5404678
OpenAlexW2608358665

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.