Evidence map›Paper›PMID 30588141›Full record

ArticleJournal of blood medicine2019

HIV infection compounds the lymphopenia associated with cerebral malaria in Malawian children.

Wilson L Mandala, Esther N Gondwe, Tonney S Nyirenda, Mark Drayson, Malcolm E Molyneux, Calman A MacLennan

Open access · goldAbstract read
In one paragraph

Article in Journal of blood medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. The Effect of Frequent Exposure toInfection and drug resistance · 2020
    Article
  3. 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

6 authors at 2 institutions in 2 countries.

Wilson L MandalaMalawi Liverpool Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi, wmandala2002@gmail.com.
Esther N GondweMalawi Liverpool Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi, wmandala2002@gmail.com.
Tonney S NyirendaMalawi Liverpool Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi, wmandala2002@gmail.com.
Mark DraysonInstitute of Immunology and Immunotherapy, College of Medicine and Dental Sciences, University of Birmingham, Birmingham, UK.
Malcolm E MolyneuxMalawi Liverpool Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi, wmandala2002@gmail.com.
Calman A MacLennanMalawi Liverpool Wellcome Trust Clinical Research Programme, College of Medicine, Blantyre, Malawi, wmandala2002@gmail.com.
University of Liverpool · GBUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimCerebral malaria (CM), unlike severe malarial anemia (SMA), has previously been characterized by pan-lymphopenia that normalizes in convalescence, while HIV infection is associated with depletion of CD4

methodsWe investigated the absolute and percentage lymphocyte-subset counts and their activation and memory status in Malawian children presenting with either CM who were HIV-uninfected (n=29), HIV-infected (n=9), or SMA who were HIV-uninfected (n=30) and HIV-infected (n=5) in comparison with HIV-uninfected children without malaria (n=42) and HIV-infected children without malaria (n=4).

resultsHIV-infected CM cases had significantly lower absolute counts of T cells (

conclusionHIV infection compounds the perturbation of acute CM and SMA on lymphocytes, exacerbating subset-specific lymphopenia in CM and increasing activation status in SMA, potentially exacerbating host immunocompromise.

Indexed as

cerebral malariaHIVMalawian childrensevere malarial anemia

Identifiers

PMID30588141
PMCPMC6305159
OpenAlexW2904170449

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.