Evidence map›Paper›PMID 30697574›Full record

ArticleOpen forum infectious diseases2019

Clinical, Virologic, and Immunologic Characteristics of Zika Virus Infection in a Cohort of US Patients: Prolonged RNA Detection in Whole Blood.

Hana M El Sahly, Rodion Gorchakov, Lilin Lai, Muktha S Natrajan, Shital M Patel, Robert L Atmar, Wendy A Keitel, Daniel F Hoft, Jill Barrett, Jason Bailey and 7 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Dengue and Zika Virus Diagnostic Testing for Patients with a Clinically Compatible Illness and Risk for Infection with Both Viruses.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2019
    Guideline
  3. Trial
  4. Article
  5. Article
  6. Future Goals and Long-term Vision of the Infectious Diseases Clinical Research Consortium/Vaccine and Treatment Evaluation Unit Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  7. Emerging and Pandemic Pathogens: Lessons Learned From a Clinical Research Network.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Pathogenesis of Zika Virus Infection.Annual review of pathology · 2023
    Review
  12. Article
  13. Host immune response against DENV and ZIKV infections.Frontiers in cellular and infection microbiology · 2022
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

17 authors.

Hana M El SahlyDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Texas.
Rodion GorchakovSection of Pediatric Tropical Medicine, Center for Human Immunobiology, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Lilin LaiHope Clinic of the Emory Vaccine Center, Division of Infectious Diseases, Department of Medicine, School of Medicine, Emory University, Decatur, Georgia.
Muktha S NatrajanHope Clinic of the Emory Vaccine Center, Division of Infectious Diseases, Department of Medicine, School of Medicine, Emory University, Decatur, Georgia.
Shital M PatelSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, Texas.
Robert L AtmarSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, Texas.
Wendy A KeitelDepartment of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Texas.
Daniel F HoftDepartments of Molecular Microbiology & Immunology and Internal Medicine, Division of Infectious Diseases, Allergy & Immunology, Saint Louis University, St. Louis, Missouri.
Jill BarrettThe Emmes Corporation, Rockville, Maryland.
Jason BaileyThe Emmes Corporation, Rockville, Maryland.
Srilatha EdupugantiHope Clinic of the Emory Vaccine Center, Division of Infectious Diseases, Department of Medicine, School of Medicine, Emory University, Decatur, Georgia.
Vanessa RaabeHope Clinic of the Emory Vaccine Center, Division of Infectious Diseases, Department of Medicine, School of Medicine, Emory University, Decatur, Georgia.
Henry M WuDivision of Infectious Diseases, Department of Medicine, School of Medicine, Emory University, Decatur, Georgia.
Jessica FairleyHope Clinic of the Emory Vaccine Center, Division of Infectious Diseases, Department of Medicine, School of Medicine, Emory University, Decatur, Georgia.
Nadine RouphaelHope Clinic of the Emory Vaccine Center, Division of Infectious Diseases, Department of Medicine, School of Medicine, Emory University, Decatur, Georgia.
Kristy O MurraySection of Pediatric Tropical Medicine, Center for Human Immunobiology, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Mark J MulliganDivision of Infectious Diseases and Microbiology and NYU Langone Vaccine Center, New York University, New York City, New York.

Funding

ALABAMA/ZAMBIA HIV VACCINE CLINICAL TRIALS UNIT (HVTU)U01AI047996 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GOEPFERT, PAUL A. · 2000 to 2006
$8.4M
Training a New Generation of VaccinologistsT32AI074492 · NIAID · EMORY UNIVERSITY · PI Rama Rao Amara, Benjamin A Lopman · 2009 to 2026
$6.4M
NIAID NIH HHS HHSN272201300015CNIAID NIH HHS HHSN272201300015INIAID NIH HHS HHSN272201300018CNIAID NIH HHS HHSN272201300018INIAID NIH HHS HHSN272201300021INIAID NIH HHS HHSN272201500002CNIAID NIH HHS T32 AI074492NIAID NIH HHS U01 AI047996
6 · The paper itself

Abstract

backgroundClinical, virologic, and immunologic characteristics of Zika virus (ZIKV) infections in US patients are poorly defined.

methodsUS subjects with suspected ZIKV infection were enrolled. Clinical data and specimens were prospectively collected for ZIKV RNA detection and serologic and cellular assays. Confirmed ZIKV infection (cases) and ZIKV-negative (controls) subjects were compared. Dengue-experienced and dengue-naïve cases were also compared.

resultsWe enrolled 45 cases and 14 controls. Commonly reported symptoms among cases and controls were maculopapular rash (97.8% and 81.8%), fatigue (86.7% and 81.8%), and arthralgia (82.2% and 54.5%), respectively. The sensitivity (94%) and duration of infection detection (80% positivity at 65-79 days after disease onset) by polymerase chain reaction were highest in whole-blood specimens. ZIKV-neutralizing antibodies had a half-life of 105 days and were significantly higher in dengue virus-experienced cases than naïve ones (

conclusionsZIKV RNA detection was more frequent and prolonged in whole-blood specimens. Immunoglobulin G (IgG) and neutralizing antibodies, but not IgM, were influenced by prior dengue infection. Robust cellular responses to E and nonstructural proteins have potential vaccine development implications.

Indexed as

cell-mediated immune responsedenguediagnosticsserologic responseZika

Identifiers

PMID30697574
PMCPMC6343961

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.