Evidence map›Paper›PMID 31464947›Full record

ArticleMedicine2019

Next-generation sequencing specifies Angiostrongylus eosinophilic meningoencephalitis in infants: Two case reports.

Mei Xie, Zhen Zhou, Suhua Guo, Zengqing Li, Hui Zhao, Jiusheng Deng

Abstract readCase Reports
In one paragraph

Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  10. Review
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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.

Mei XieDepartment of Pediatrics, Guangdong Women and Children Hospital, Guangzhou, China.
Zhen ZhouDepartment of Pediatrics, Guangdong Women and Children Hospital, Guangzhou, China.
Suhua GuoDepartment of Pediatrics, Guangdong Women and Children Hospital, Guangzhou, China.
Zengqing LiDepartment of Pediatrics, Guangdong Women and Children Hospital, Guangzhou, China.
Hui ZhaoDepartment of Pediatrics, Guangdong Women and Children Hospital, Guangzhou, China.
Jiusheng DengDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleAngiostrongylus cantonensis-induced eosinophilic meningoencephalitis (AEM) in infants is a very rare but fatal disease. Utilization of genetic assay to detect the cerebral parasite plays an important role for the treatment of the infection. PATIENT CONCERNS: Two infants (<2 years) presented with cough, intermittent fever, mental fatigue, and poor diet. DIAGNOSIS: The patients were under clinical examination and laboratory test including cardiac ultrasound, chest X-ray, blood or cerebrospinal fluid (CSF) cell counting, serum enzyme-linked immunosorbent assay (ELISA), head magnetic resonance imaging (MRI) and next-generation sequencing (NGS) on DNA from CSF. Due to hypereosinophils in patients' peripheral blood and CSF, and abundant DNA sequences from A cantonensis in CSF, the patients were diagnosed with Angiostrongylus eosinophilic meningoencephalitis.

interventionsThe patients were treated with albendazole to deworm, and methylprednisolone to reduce inflammation. OUTCOME: The patients were completely recovered from AEM without relapse after 10-day treatment. LESSONS: ELISA and MRI are not sufficiently accurate for the diagnosis of AEM in infants. NGS can specify the infection by the cerebral parasite and offers a new effective approach for the early and precise diagnosis of AEM in infants.

Indexed as

AlbendazoleAngiostrongylus cantonensisAnimalsAnthelminticsAnti-Inflammatory AgentsEnzyme-Linked Immunosorbent AssayEosinophiliaHigh-Throughput Nucleotide SequencingHumansInfantMagnetic Resonance ImagingMaleMeningoencephalitisMethylprednisoloneStrongylida InfectionsAlbendazoleAnthelminticsAnti-Inflammatory AgentsMethylprednisolone

Identifiers

PMID31464947
PMCPMC6736482

What OpenQuestion holds

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Registered trials

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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.