Evidence map›Paper›PMID 30487475›Full record

ArticleJournal of clinical medicine2018

Zika Virus Epidemic in Brazil. II. Post-Mortem Analyses of Neonates with Microcephaly, Stillbirths, and Miscarriage.

Raimunda S S Azevedo, Marialva T Araujo, Consuelo S Oliveira, Arnaldo Jorge Martins Filho, Bruno T D Nunes, Daniele F Henriques, Eliana V P Silva, Valéria L Carvalho, Jannifer O Chiang, Lívia C Martins and 14 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. A combination of two human monoclonal antibodies limits fetal damage by Zika virus in macaques.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  15. Article
  16. The Scientific Response to Zika Virus.Journal of clinical medicine · 2019
    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

24 authors at 6 institutions in 2 countries.

Raimunda S S AzevedoSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. raimundaazevedo@iec.gov.br.
Marialva T AraujoSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. marialvaaraujo@iec.gov.br.
Consuelo S OliveiraSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. consuelooliveira@iec.gov.br.
Arnaldo Jorge Martins FilhoSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. arnaldofilho@iec.pa.gov.br.ORCID 0000-0001-9153-1234
Bruno T D NunesSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. brunonunes@iec.gov.br.
Daniele F HenriquesSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. danielehenriques@iec.gov.br.
Eliana V P SilvaSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. elianapinto@iec.gov.br.
Valéria L CarvalhoSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. valeriacarvalho@iec.gov.br.
Jannifer O ChiangSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. janniferchiang@iec.gov.br.
Lívia C MartinsSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. liviamartins@iec.gov.br.
Barbara C B VasconcelosCentro de Ciências Biológicas e da Saúde, Universidade do Estado do Pará,Travessa Perebebuí, 2623, Belém66087-670, Pará, Brazil. barbaravasconcelos@globo.com.
Jorge R SousaSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. krekrodrigues@gmail.com.
Fernanda Montenegro C AraujoLaboratório Central, Secretaria de Saúde Pública do Ceará, Avenida Barão de Studart 2405, Fortaleza 60120-002, Ceará, Brazil. suelirodrigues@iec.gov.br.
Erlane M RibeiroHospital Geral César Cals, Secretaria de Saúde Pública do Ceará, . Avenida Imperador 545, Fortaleza 60015-152, Ceará, Brazil. fernandamontenegrocaraujo@gmail.com.ORCID 0000-0002-2202-9109
Andrezza R P CastroHospital Geral César Cals, Secretaria de Saúde Pública do Ceará, . Avenida Imperador 545, Fortaleza 60015-152, Ceará, Brazil. andrezzaporto@hotmail.com.
Maria G L de QueirozLaboratório Central, Secretaria de Saúde Pública do Rio Grande do Norte, Rua Cônego Monte 410, Natal 59037-170, Rio Grande do Norte, Brazil. lacenrn@yahoo.com.br.
Mariana P VerottiFundação para o Desenvolvimento Científico e Tecnológico em Saúde (FIOTEC), Fundação Osvaldo Cruz (Fiocruz), SMPW Quadra 4 Conj. 1 Lote 3 Unidade E, Distrito Federal, Brasília 71735-401, Brazil. lacenrn@yahoo.com.br.
Márcio R T NunesSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. marcionunesbrasil@yahoo.com.br.
Ana C R CruzSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. anacecilia@iec.gov.br.
Sueli G RodriguesSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. suelirodrigues@iec.gov.br.
Pei-Yong ShiDepartment of Pathology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0144, USA. peshi@utmb.edu.
Juarez A S QuaresmaCentro de Ciências Biológicas e da Saúde, Universidade do Estado do Pará,Travessa Perebebuí, 2623, Belém66087-670, Pará, Brazil. juarez.quaresma@gmail.com.ORCID 0000-0002-6267-9966
Robert B TeshDepartment of Pathology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0144, USA. rtesh@utmb.edu.
Pedro F C VasconcelosSeção de Arbovirologia e Febres Hemorrágicas, Instituto Evandro Chagas, Ministério da Saúde, RodoviaBR-316, km-07, Ananindeua67030-000, Pará, Brazil. pedrovasconcelos@iec.gov.br.
Ministério da Saúde · BRUniversidade do Estado do Pará · BRHospital Geral de Fortaleza · BRSecretaria da Saúde · BRThe University of Texas Medical Branch at Galveston · USFundação Oswaldo Cruz · BR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 303999/2016-0Conselho Nacional de Desenvolvimento Científico e Tecnológico 439971/2016-0Conselho Nacional de Desenvolvimento Científico e Tecnológico 440405/2016-5
6 · The paper itself

Abstract

introductionThe recent Zika virus(ZIKV) epidemic in Brazil was characterized by a range of different clinical presentations, particularly microcephaly, Guillain-Barré syndrome, and death. In this context, we determined the causal relationship between fatal microcephaly cases and ZIKV infection.

methodsTwelve fatal cases of neonates, whose mothers were infected with ZIKV during pregnancy, were examined; cases included nine neonatal deaths due to microcephaly, one miscarriage, and two stillbirths. Tissue samples were obtained from all cases at necropsy and were submitted for virological investigation (RT-qPCR and virus isolation) and/or histopathology (hematoxylin and eosin staining) and immunohistochemical assay for the detection of ZIKV antigens.

resultsZIKV antigens and/or ZIKV RNA were detected in tissue samples of all 12 cases examined. ZIKV was recovered in one case. Results of the virological and immunohistochemical analyses, as well as the anatomic abnormalities and histopathologic changes observed at necropsy on the 12 fatal cases, are presented.

conclusionsData from these 12 cases provide strong evidence of the causal relationship between ZIKV and congenital disease in fetuses of women who were infected with the virus during pregnancy.

Indexed as

and ZIKV antigencongenital syndromemicrocephalyZika virusZIKV RNA

Identifiers

PMID30487475
PMCPMC6306831
OpenAlexW2902128651

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.