Evidence map›Paper›PMID 31220115›Full record

ArticlePloS one2019

Metagenomic next-generation sequencing of samples from pediatric febrile illness in Tororo, Uganda.

Akshaya Ramesh, Sara Nakielny, Jennifer Hsu, Mary Kyohere, Oswald Byaruhanga, Charles de Bourcy, Rebecca Egger, Boris Dimitrov, Yun-Fang Juan, Jonathan Sheu and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05085158 (Pathogen Detection in HIV-infected Children and Adolescents With Non-malarial Febrile Illnesses Using Metagenomic Next-generation Sequencing Approach in Uganda), which is not on this map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
8.6field-weighted citation impact, top 2% 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.

NCT05085158 unknown statusnot on this mapstarted 2023, after this paper: background citation

Pathogen Detection in HIV-infected Children and Adolescents With Non-malarial Febrile Illnesses Using Metagenomic Next-generation Sequencing Approach in Uganda

TypeobservationalSponsorMakerere UniversityRan2023 to 2024Enrolled138ConditionsHIV Infection
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 98 citations in OpenAlex.

  1. Article
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  8. The respiratory tract virome: unravelling the role of viral dark matter in respiratory health and disease.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  9. Enterovirus Placentitis is an Underrecognized Cause of Placental Pathology.The American journal of surgical pathology · 2025
    Article
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4 more citing papers are in PubMed but not listed here.

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

18 authors at 4 institutions in 2 countries.

Akshaya RameshWeill Institute for Neurosciences, University of California, San Francisco, California, United States of America.
Sara NakielnyDepartment of Biochemistry and Biophysics, University of California, San Francisco, California, United States of America.
Jennifer HsuDivision of Infectious Diseases, Department of Medicine, University of California, San Francisco, California, United States of America.
Mary KyohereInfectious Diseases Research Collaboration, Kampala, Uganda.
Oswald ByaruhangaInfectious Diseases Research Collaboration, Kampala, Uganda.
Charles de BourcyChan Zuckerberg Biohub, San Francisco, California, United States of America.
Rebecca EggerChan Zuckerberg Biohub, San Francisco, California, United States of America.
Boris DimitrovChan Zuckerberg Biohub, San Francisco, California, United States of America.
Yun-Fang JuanChan Zuckerberg Biohub, San Francisco, California, United States of America.
Jonathan SheuChan Zuckerberg Biohub, San Francisco, California, United States of America.
James WangChan Zuckerberg Biohub, San Francisco, California, United States of America.
Katrina KalantarDepartment of Biochemistry and Biophysics, University of California, San Francisco, California, United States of America.
Charles LangelierDivision of Infectious Diseases, Department of Medicine, University of California, San Francisco, California, United States of America.
Theodore RuelDivision of Pediatric Infectious Diseases and Global Health, Department of Pediatrics, University of California, San Francisco, California, United States of America.
Arthur MpimbazaChild Health and Development Centre, Makerere University, Kampala, Uganda.
Michael R WilsonWeill Institute for Neurosciences, University of California, San Francisco, California, United States of America.
Philip J RosenthalDivision of Infectious Diseases, Department of Medicine, University of California, San Francisco, California, United States of America.
Joseph L DeRisiDepartment of Biochemistry and Biophysics, University of California, San Francisco, California, United States of America.ORCID 0000-0002-4611-9205
University of California, San Francisco · USChan Zuckerberg Initiative (United States) · USInfectious Diseases Research Collaboration · UGMakerere University · UG

Funding

Next-Generation Diagnostics for Acute EncephalitisK08NS096117 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WILSON, MICHAEL R · 2017 to 2021
$999k
Profiling the Lung Transcriptome for Precision Diagnosis of Respiratory Infections using Host/Pathogen Metagenomic SequencingK23HL138461 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LANGELIER, CHARLES · 2018 to 2021
$718k
Howard Hughes Medical InstituteNHLBI NIH HHS K23 HL138461NINDS NIH HHS K08 NS096117
6 · The paper itself

Abstract

Febrile illness is a major burden in African children, and non-malarial causes of fever are uncertain. In this retrospective exploratory study, we used metagenomic next-generation sequencing (mNGS) to evaluate serum, nasopharyngeal, and stool specimens from 94 children (aged 2-54 months) with febrile illness admitted to Tororo District Hospital, Uganda. The most common microbes identified were Plasmodium falciparum (51.1% of samples) and parvovirus B19 (4.4%) from serum; human rhinoviruses A and C (40%), respiratory syncytial virus (10%), and human herpesvirus 5 (10%) from nasopharyngeal swabs; and rotavirus A (50% of those with diarrhea) from stool. We also report the near complete genome of a highly divergent orthobunyavirus, tentatively named Nyangole virus, identified from the serum of a child diagnosed with malaria and pneumonia, a Bwamba orthobunyavirus in the nasopharynx of a child with rash and sepsis, and the genomes of two novel human rhinovirus C species. In this retrospective exploratory study, mNGS identified multiple potential pathogens, including 3 new viral species, associated with fever in Ugandan children.

Indexed as

Child, PreschoolCytomegalovirusFecesFemaleFeverHigh-Throughput Nucleotide SequencingHumansInfantMalariaMaleMetagenomeNasopharynxPlasmodium falciparumRespiratory Syncytial VirusesRetrospective StudiesRhinovirus

Identifiers

PMID31220115
PMCPMC6586300
OpenAlexW2952402079

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.