Evidence map›Paper›PMID 33089317›Full record

ArticleThe Journal of infectious diseases2021

Prolonged Severe Acute Respiratory Syndrome Coronavirus 2 Replication in an Immunocompromised Patient.

Ji Hoon Baang, Christopher Smith, Carmen Mirabelli, Andrew L Valesano, David M Manthei, Michael A Bachman, Christiane E Wobus, Michael Adams, Laraine Washer, Emily T Martin and 1 more

Registry-linked trialOpen access · bronzeAbstract readCase Reports
In one paragraph

Article in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05172063 (Persistent SARS-CoV-2 Infection in Children With Cancer and Impaired Immune Responsiveness), which is not on this map. Cited by 200 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
200citing papers in PubMed, 9 pooled it
7.2field-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.

NCT05172063 unknown statusnot on this mapstarted 2022, after this paper: background citation

Persistent SARS-CoV-2 Infection in Children With Cancer and Impaired Immune Responsiveness

TypeobservationalSponsorChildren's Cancer Hospital Egypt 57357Ran2022 to 2023Enrolled30ConditionsChildren With Cancer, SARS-CoV-2 Infection
3 · Its place in the literature

Who cites it

200 citing papers in PubMed, 9 syntheses or guidelines pooled it, 334 citations in OpenAlex.

  1. Pooled it
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  3. Guideline
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  6. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Sequence Characteristics of Coronavirus Disease 2019 (COVID-19) Persistence and Reinfection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Pooled it
  7. Guideline
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  10. Trial
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140 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

11 authors at 1 institution in 1 country.

Ji Hoon BaangDivision of Infectious Diseases, University of Michigan, Ann Arbor, Michigan, USA.
Christopher SmithDivision of Hospital Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Carmen MirabelliDepartment of Microbiology and Immunology, University of Michigan, Ann Arbor, Michigan, USA.
Andrew L ValesanoDivision of Infectious Diseases, University of Michigan, Ann Arbor, Michigan, USA.
David M MantheiDepartment of Pathology, University of Michigan, Ann Arbor, Michigan, USA.
Michael A BachmanDepartment of Pathology, University of Michigan, Ann Arbor, Michigan, USA.
Christiane E WobusDepartment of Microbiology and Immunology, University of Michigan, Ann Arbor, Michigan, USA.
Michael AdamsDivision of Hospital Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Laraine WasherDivision of Infectious Diseases, University of Michigan, Ann Arbor, Michigan, USA.
Emily T MartinDepartment of Epidemiology, University of Michigan, Ann Arbor, Michigan, USA.
Adam S LauringDivision of Infectious Diseases, University of Michigan, Ann Arbor, Michigan, USA.
University of Michigan · US

Funding

MICHIGAN MEDICAL SCIENTIST TRAINING PROGRAMT32GM007863 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI COLLINS, KATHLEEN L. · 1985 to 2024
$38.3M
US Hospital Vaccine Effectiveness (VE) Network - SupplementU01IP000974 · IP · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MONTO, ARNOLD S · 2015 to 2019
$4.5M
NCIRD CDC HHS U01 IP000974NIGMS NIH HHS T32 GM007863
6 · The paper itself

Abstract

We describe a case of chronic coronavirus disease 2019 (COVID-19) in a patient with lymphoma and associated B-cell immunodeficiency. Viral cultures and sequence analysis demonstrate ongoing replication of infectious severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) for at least 119 days. The patient had 3 admissions related to COVID-19 over a 4-month period and was treated twice with remdesivir and convalescent plasma with resolution of symptoms. The patient's lack of seroconversion and prolonged course illustrate the importance of humoral immunity in resolving SARS-CoV-2 infection. This case highlights challenges in managing immunocompromised hosts, who may act as persistent shedders and sources of transmission.

Indexed as

Virus ReplicationAdenosine MonophosphateAlanineAntibodies, ViralCOVID-19HospitalizationHumansImmunity, HumoralImmunocompromised HostLymphoma, Mantle-CellMaleMiddle AgedPrimary Immunodeficiency DiseasesSARS-CoV-2SeroconversionAdenosine MonophosphateAlanineAntibodies, ViralremdesivirantibodyCOVID-19evolutionimmunocompromiseSARS-CoV-2

Identifiers

PMID33089317
PMCPMC7797758
OpenAlexW3110332236

What OpenQuestion holds

Textmetadata
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.