Evidence map›Paper›PMID 30680653›Full record

ArticleJournal of clinical immunology2019

Outcomes for Nitazoxanide Treatment in a Case Series of Patients with Primary Immunodeficiencies and Rubella Virus-Associated Granuloma.

Ludmila Perelygina, David Buchbinder, Morna J Dorsey, Marc Eloit, Fabian Hauck, Timo Hautala, Despina Moshous, Ignacio Uriarte, Elena Deripapa, Joseph Icenogle and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Rubella virus-associated cutaneous granulomatous disease in an immunocompetent woman.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
  5. Review
  6. Cutaneous granulomas associated with rubella virus: A clinical review.Journal of the American Academy of Dermatology · 2024
    Review
  7. Molecular epidemiology of rubella during the pre- and post-elimination eras in the Americas.Revista panamericana de salud publica = Pan American journal of public health · 2024
    Article
  8. Surveillance for rubella virus in samples obtained from non-immunodeficient individuals.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2024
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Rubella virus-associated chronic inflammation in primary immunodeficiency diseases.Current opinion in allergy and clinical immunology · 2020
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. 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

11 authors at 9 institutions in 5 countries.

Ludmila PerelyginaDivision of Viral Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, USA.
David BuchbinderDivision of Hematology, CHOC Children's Hospital, Orange, CA, USA.
Morna J DorseyDepartment of Pediatrics, Division of Allergy, Immunology, and Blood and Marrow Transplant, Benioff Children's Hospital, University of California, San Francisco, 1975 4th Street, San Francisco, CA, 94158, USA.
Marc EloitInstitut Pasteur, Laboratory of Pathogen Discovery, Biology of Infection Unit, Inserm U1117, Paris, France.
Fabian HauckDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU, Munich, Germany.
Timo HautalaResearch Unit of Internal Medicine, University of Oulu and Oulu University Hospital, Kajaanintie 50, 90220, Oulu, Finland.
Despina MoshousDepartment of Pediatric Immunology, Hematology and Rheumatology, Assistance Publique-Hôpitaux de Paris (AP-HP), Necker Children's Hospital, Paris, France.
Ignacio UriarteImmunology Unit, The Child's and Mother Hospital, Vitorio Tetamanti, High School of Medicine, Mar del Plata National University, Castelli 2450 Mar del Plata, 7600, Buenos Aires, Argentina.
Elena DeripapaDepartment of Immunology, Center for Pediatric Hematology, Oncology, Immunology, Moscow, Russia.
Joseph IcenogleDivision of Viral Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, USA.
Kathleen E SullivanDivision of Allergy Immunology, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, 3615 Civic Center Blvd, Philadelphia, PA, 19104, USA. sullivank@email.chop.edu.ORCID 0000-0003-4018-1646
Centers for Disease Control and Prevention · USChildren's Hospital of Orange County · USChildren's Hospital of Philadelphia · USDélégation Paris 5 · FRInserm · FRLudwig-Maximilians-Universität München · DENational University of Mar del Plata · AROulu University Hospital · FIUniversity of California, San Francisco · US

Funding

Persistent rubella in immune deficient patientsR21AI130967 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI SULLIVAN, KATHLEEN E · 2018 to 2019
$473k
NIAID NIH HHS R21 AI130967
6 · The paper itself

Abstract

purposeNitazoxanide was recently reported as having in vitro effectiveness against the rubella virus. Immunodeficiency-related vaccine-derived rubella occurs in some patients who have an inherited immunodeficiency and who received the MMR vaccine. This study investigated the in vivo effectiveness of nitazoxanide therapy.

methodsThis is a retrospective analysis of seven patients treated with nitazoxanide as salvage therapy for immunodeficiency-related vaccine-derived rubella infection. The patients were recruited from an ongoing rubella detection surveillance project.

resultsSeven patients with persistent rubella were treated with nitazoxanide and one demonstrated significant clinical improvement. Two additional patients exhibited diminished viral capsid production with one patient having transient slowing of progression. The cohort overall generally had low T cell counts and had a high burden of comorbidities. There were three deaths. Two deaths were from PML and one was related to hematopoietic stem cell transplantation.

conclusionsNitazoxanide has limited in vivo anti-viral effects for immunodeficiency-related vaccine-derived rubella. Most patients did not exhibit clinical improvement.

Indexed as

AdolescentChildChild, PreschoolFemaleGranulomaHumansImmunologic Deficiency SyndromesInfantMaleNitro CompoundsRetrospective StudiesRubellaRubella virusThiazolesT-LymphocytesVaccinationnitazoxanideNitro CompoundsThiazoleschronic inflammationGranulomasMMRnitazoxanidevaccine

Identifiers

PMID30680653
PMCPMC6383808
OpenAlexW2912658862

What OpenQuestion holds

Textmetadata
LicenceTDM
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.