Evidence map›Paper›PMID 34576791›Full record

ArticleMicroorganisms2021

Herpes Simplex Virus Re-Activation in Patients with SARS-CoV-2 Pneumonia: A Prospective, Observational Study.

Erica Franceschini, Alessandro Cozzi-Lepri, Antonella Santoro, Erica Bacca, Guido Lancellotti, Marianna Menozzi, William Gennari, Marianna Meschiari, Andrea Bedini, Gabriella Orlando and 21 more

Open access · goldAbstract read
In one paragraph

Article in Microorganisms, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Viral reactivations and fungal infections in nonresolving acute respiratory distress syndrome.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Children (Basel, Switzerland) · 2024
    Article
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Observational
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

31 authors at 5 institutions in 5 countries.

Erica FranceschiniInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.ORCID 0000-0001-6922-5759
Alessandro Cozzi-LepriCentre for Clinical Research, Epidemiology, Modelling and Evaluation, Institute for Global Health, University College London, London NW3 2PF, UK.
Antonella SantoroInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Erica BaccaDepartment of Infectious Diseases, University of Modena and Reggio Emilia, 41124 Modena, Italy.ORCID 0000-0001-7164-5293
Guido LancellottiDepartment of Infectious Diseases, University of Modena and Reggio Emilia, 41124 Modena, Italy.
Marianna MenozziInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
William GennariMicrobiology and Virology Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Marianna MeschiariInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.ORCID 0000-0002-1254-9995
Andrea BediniInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Gabriella OrlandoInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Cinzia PuzzolanteInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Margherita DigaetanoInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Jovana MilicDepartment of Infectious Diseases, University of Modena and Reggio Emilia, 41124 Modena, Italy.
Mauro CodeluppiInfectious Diseases Unit, G. da Saliceto Hospital, 29121 Piacenza, Italy.
Monica PecorariMicrobiology and Virology Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Federica CarliInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Gianluca CuomoInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Gaetano AlfanoNephrology, Dialysis and Transplant Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Luca CorradiInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Roberto TonelliRespiratory Diseases Unit, University of Modena and Reggio Emilia, 41124 Modena, Italy.ORCID 0000-0002-6202-0758
Nicola De MariaGastroenterology Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Stefano BusaniIntensive Care Unit, Department of Anaesthesia, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Emanuela BiagioniIntensive Care Unit, Department of Anaesthesia, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Irene ColorettiIntensive Care Unit, Department of Anaesthesia, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Giovanni GuaraldiDepartment of Infectious Diseases, University of Modena and Reggio Emilia, 41124 Modena, Italy.
Mario SartiMicrobiology and Virology Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Mario LuppiHematology Unit, University of Modena and Reggio Emilia, 41124 Modena, Italy.
Enrico CliniRespiratory Diseases Unit, University of Modena and Reggio Emilia, 41124 Modena, Italy.ORCID 0000-0002-1515-5094
Massimo GirardisIntensive Care Unit, Department of Anaesthesia, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Inge C GyssensRadboud Center for Infectious Diseases, Department of Internal Medicine, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands.
Cristina MussiniInfectious Diseases Unit, Azienda Ospedaliero-Universitaria Policlinico, 41124 Modena, Italy.
Azienda Ospedaliero-Universitaria di Modena · ITUniversity of Modena and Reggio Emilia · ITGuglielmo da Saliceto Hospital · ITRadboud University Nijmegen · NLUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHerpes simplex 1 co-infections in patients with COVID-19 are considered relatively uncommon; some reports on re-activations in patients in intensive-care units were published. The aim of the study was to analyze herpetic re-activations and their clinical manifestations in hospitalized COVID-19 patients, performing HSV-1 PCR on plasma twice a week.

methodswe conducted a prospective, observational, single-center study involving 70 consecutive patients with severe/critical SARS-CoV-2 pneumonia tested for HSV-1 hospitalized at Azienda Ospedaliero-Universitaria of Modena.

resultsof these 70 patients, 21 (30.0%) showed detectable viremia and 13 (62%) had clinically relevant manifestations of HSV-1 infection corresponding to 15 events (4 pneumonia, 5 herpes labialis, 3 gingivostomatitis, one encephalitis and two hepatitis). HSV-1 positive patients were more frequently treated with steroids than HSV-1 negative patients (76.2% vs. 49.0%,

Indexed as

Herpesviridaere-activationSARS-Cov-2steroidstocilizumab

Identifiers

PMID34576791
PMCPMC8465957
OpenAlexW3198886445

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.