Evidence map›Paper›PMID 34285930›Full record

ArticleChild neurology open

Report of a Child With Febrile Status Epilepticus and Post-COVID Multi-System Inflammatory Syndrome.

Holly C Appleberry, Alexis Begezda, Helen Cheung, Soriayah Zaghab-Mathews, Gayatra Mainali

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Child neurology open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Post COVID-19 neurological complications; a meta-analysis.Annals of medicine and surgery (2012) · 2022
    Review
  5. 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

5 authors at 1 institution in 1 country.

Holly C AppleberryDepartment of Neurology, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.ORCID https://orcid.org/0000-0003-2227-9666
Alexis BegezdaDepartment of Pediatric Rheumatology, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Helen CheungDepartment of Pediatrics, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Soriayah Zaghab-MathewsDepartment of Pediatrics, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Gayatra MainaliDepartment of Pediatrics and Neurology, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Penn State Milton S. Hershey Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multi-system Inflammatory Syndrome in Children (MIS-C) is a post infectious inflammatory syndrome following COVID infection. Previous case series have demonstrated that CNS involvement is less common and presents heterogeneously. The following case describes an infant with an initial presentation of refractory febrile status epilepticus. Genetic testing later showed multiple variants of uncertain significance. The patient met clinical criteria for MIS-C and had a markedly abnormal brain MRI with bilateral diffuse restricted diffusion (anterior > posterior). Clinically, the patient improved with pulse steroids and IVIg. This case highlights the importance of maintaining MIS-C in the differential as a trigger of Febrile Infection Related Epilepsy Syndrome (FIRES) with multi-organ involvement presenting 2-4 weeks after infectious symptoms and COVID exposure.

Indexed as

abnormal brain MRICOVIDfebrile infection related epilepsy syndrome (FIRES)multi-system inflammatory syndrome in childrenstatus epileptics

Identifiers

PMID34285930
PMCPMC8261841
OpenAlexW3182027050

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.