Evidence map›Paper›PMID 32663209›Full record

ArticlePLoS neglected tropical diseases2020

Japanese encephalitis virus infection in non-encephalitic acute febrile illness patients.

Chairin Nisa Ma'roef, Rama Dhenni, Dewi Megawati, Araniy Fadhilah, Anton Lucanus, I Made Artika, Sri Masyeni, Asri Lestarini, Kartika Sari, Ketut Suryana and 6 more

Open access · goldAbstract read
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Comprehensive Review on Viral RNA Extraction Strategies for Enhanced Molecular Diagnostics.Interdisciplinary perspectives on infectious diseases · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Thrombocytopenia in Virus Infections.Journal of clinical medicine · 2021
    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

16 authors at 5 institutions in 3 countries.

Chairin Nisa Ma'roefEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.
Rama DhenniEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.
Dewi MegawatiFaculty of Medicine and Health Sciences, Warmadewa University, Denpasar, Bali, Indonesia.
Araniy FadhilahEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.ORCID 0000-0002-0412-5738
Anton LucanusSchool of Anatomy, Physiology and Human Biology, University of Western Australia, Perth, Australia.ORCID 0000-0003-1801-5166
I Made ArtikaEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.ORCID 0000-0003-4293-3389
Sri MasyeniFaculty of Medicine and Health Sciences, Warmadewa University, Denpasar, Bali, Indonesia.
Asri LestariniFaculty of Medicine and Health Sciences, Warmadewa University, Denpasar, Bali, Indonesia.
Kartika SariFaculty of Medicine and Health Sciences, Warmadewa University, Denpasar, Bali, Indonesia.
Ketut SuryanaWangaya General Hospital, Denpasar, Bali, Indonesia.
Frilasita A YudhaputriEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.
Ungke Anton JayaEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.
R Tedjo SasmonoDengue Research Unit, Eijkman Institute for Molecular Biology Jakarta, Indonesia.
Jeremy P LedermannDivision 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.
Khin Saw Aye MyintEmerging Virus Research Unit, Eijkman Institute for Molecular Biology, Jakarta, Indonesia.ORCID 0000-0002-2087-7331
Eijkman Institute for Molecular Biology · IDWarmadewa University · IDCenters for Disease Control and Prevention · USIPB University · IDThe University of Western Australia · AU

Funding

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

Abstract

Although Japanese encephalitis virus (JEV) is considered endemic in Indonesia, there are only limited reports of JEV infection from a small number of geographic areas within the country with the majority of these being neuroinvasive disease cases. Here, we report cases of JEV infection in non-encephalitic acute febrile illness patients from Bali, Indonesia. Paired admission (S1) and discharge (S2) serum specimens from 144 acute febrile illness patients (without evidence of acute dengue virus infection) were retrospectively tested for anti-JEV IgM antibody and confirmed by plaque reduction neutralization test (PRNT) for JEV infection. Twenty-six (18.1%) patients were anti-JEV IgM-positive or equivocal in their S2 specimens, of which 5 (3.5%) and 8 (5.6%) patients met the criteria for confirmed and probable JEV infection, respectively, based on PRNT results. Notably, these non-encephalitic JE cases were less likely to have thrombocytopenia, leukopenia, and lower hematocrit compared with confirmed dengue cases of the same cohort. These findings highlight the need to consider JEV in the diagnostic algorithm for acute febrile illnesses in endemic areas and suggest that JEV as a cause of non-encephalitic disease has likely been underestimated in Indonesia.

Indexed as

Encephalitis Virus, JapaneseAntibodies, ViralEncephalitis, JapaneseFeverHumansImmunoglobulin MIndonesiaSerologic TestsAntibodies, ViralImmunoglobulin M

Identifiers

PMID32663209
PMCPMC7360021
OpenAlexW3042384292

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.