Evidence map›Paper›PMID 28480291›Full record

ArticleOpen forum infectious diseases2017

Fatal Eastern Equine Encephalitis in a Patient on Maintenance Rituximab: A Case Report.

Isaac H Solomon, Pedro D S C Ciarlini, Sandro Santagata, Asim A Ahmed, Umberto De Girolami, Sashank Prasad, Shibani S Mukerji

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Eastern Equine Encephalitis Virus Diversity in Massachusetts Patients, 1938-2020.The American journal of tropical medicine and hygiene · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Review
  8. Article
  9. Transmission of Eastern Equine Encephalitis Virus From an Organ Donor to 3 Transplant Recipients.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  10. Review
  11. Article
  12. 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.

Isaac H SolomonDepartments of Pathology.
Pedro D S C CiarliniDepartments of Pathology.
Sandro SantagataDepartments of Pathology.
Asim A AhmedDepartment of Medicine, Division of Infectious Diseases, Boston Children's Hospital, Harvard Medical School, Massachusetts.
Umberto De GirolamiDepartments of Pathology.
Sashank PrasadDepartment of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston.
Shibani S MukerjiNeurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Brigham and Women's Hospital · USHarvard University · USMassachusetts General Hospital · US

Funding

Training in the Molecular Biology of Neurodegeneration and Alzheimer's DiseaseT32AG000222 · NIA · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Bruce A YANKNER · 1992 to 2026
$18.5M
Viral and Host Determinants of New World Alphaviral EntryK08AI093676 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI AHMED, ASIM AMINSHARIF · 2011 to 2015
$668k
NIAID NIH HHS K08 AI093676NIA NIH HHS T32 AG000222
6 · The paper itself

Abstract

A 63-year-old woman on rituximab maintenance for follicular lymphoma presented with headaches, vomiting, and fever, and was diagnosed with eastern equine encephalomyelitis by cerebrospinal fluid polymerase chain reaction. Eastern equine encephalomyelitis immunoglobulin (Ig)G/IgM remained negative due to rituximab treatment, and magnetic resonance imaging showed minimal abnormalities, making this a diagnostically challenging case. Despite therapy with intravenous Ig, the patient rapidly declined and died on hospital day 12. Autopsy revealed perivascular and parenchymal chronic inflammation, with an absence of B lymphocytes, and virally infected neurons throughout the central nervous system.

Indexed as

arboviruseastern equine encephalitisimmunosuppressedneuroinvasiverituximab

Identifiers

PMID28480291
PMCPMC5414020
OpenAlexW2588086218

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.