Evidence map›Paper›PMID 32069292›Full record

ArticlePLoS neglected tropical diseases2020

Rickettsia felis identified in two fatal cases of acute meningoencephalitis.

Arthur H P Mawuntu, Edison Johar, Riane Anggraeni, Feliana Feliana, Janno B B Bernadus, Dodi Safari, Frilasita A Yudhaputri, Rama Dhenni, Yora P Dewi, Cecilia Kato and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in PLoS neglected tropical diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Case Report: PediatricFrontiers in pediatrics · 2026
    Article
  3. Frontiers in pediatrics · 2026
    Article
  4. Review
  5. Article
  6. IDCases · 2025
    Article
  7. Article
  8. The detection of zoonotic microorganisms inFrontiers in veterinary science · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Molecular Detection of Rickettsia felis in Fleas of Companion Animals in East Texas.The American journal of tropical medicine and hygiene · 2022
    Article
  13. Article
  14. Culture Isolate ofInternational journal of environmental research and public health · 2022
    Article
  15. HumanFrontiers in cellular and infection microbiology · 2022
    Article
  16. Article
  17. Article
  18. Pathogens (Basel, Switzerland) · 2021
    Review
  19. Manifestations and Management of Flea-Borne Rickettsioses.Research and reports in tropical medicine · 2021
    Review
  20. 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

14 authors at 3 institutions in 2 countries.

Arthur H P MawuntuFaculty of Medicine, Sam Ratulangi University, Manado, Indonesia.ORCID 0000-0003-4747-9779
Edison JoharEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.ORCID 0000-0002-9491-6487
Riane AnggraeniFaculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
Feliana FelianaFaculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
Janno B B BernadusFaculty of Medicine, Sam Ratulangi University, Manado, Indonesia.ORCID 0000-0002-6605-6694
Dodi SafariEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.
Frilasita A YudhaputriEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.
Rama DhenniEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.ORCID 0000-0001-9782-6666
Yora P DewiEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.
Cecilia KatoDivision of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado, United States of America.
Ann M PowersDivision of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado, United States of America.
Ronald RosenbergDivision of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado, United States of America.
Amin SoebandrioEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.
Khin S A MyintEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.ORCID 0000-0002-2087-7331
Eijkman Institute for Molecular Biology · IDSam Ratulangi University · IDCenters for Disease Control and Prevention · US

Funding

NCEZID CDC HHS U01 CK000577NCEZID CDC HHS U18 CK000443
6 · The paper itself

Abstract

backgroundRickettsia felis has recently emerged worldwide as a cause of human illness. Typically causing mild, undifferentiated fever, it has been implicated in several cases of non-fatal neurological disease in Mexico and Sweden. Its distribution and pathogenicity in Southeast Asia is poorly understood. METHODOLOGY/PRINCIPAL

findingsWe retroactively tested cerebrospinal fluid (CSF) or sera from 64 adult patients admitted to hospital in North Sulawesi, Indonesia with acute neurological disease. Rickettsia felis DNA was identified in the CSF of two fatal cases of meningoencephalitis using multi-locus sequence typing semi-nested PCR followed by Sanger sequencing. DNA from both cases had 100% sequence homologies to the R. felis reference strain URRWXCal2 for the 17-kDa and ompB genes, and 99.91% to gltA. CONCLUSION/SIGNIFICANCE: The identification of R. felis in the CSF of two fatal cases of meningoencephalitis in Indonesia suggests the distribution and pathogenicity of this emerging vector-borne bacteria might be greater than generally recognized. Typically Rickettsia are susceptible to the tetracyclines and greater knowledge of R. felis endemicity in Indonesia should lead to better management of some acute neurological cases.

Indexed as

AdultBacterial ProteinsFatal OutcomeHumansMaleMeningoencephalitisMultilocus Sequence TypingPhylogenyRickettsia felisRickettsia InfectionsBacterial Proteins

Identifiers

PMID32069292
PMCPMC7048312
OpenAlexW3008084399

What OpenQuestion holds

Textmetadata
LicenceCC0
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.