Evidence map›Paper›PMID 34840888›Full record

ReviewNeurology. Clinical practice2021

Eastern Equine Encephalitis: Case Series in Southern New England and Review of the Literature.

Mayra Montalvo, Dana Ayoub, Michael McGary, Katrina Byrd, Leana Mahmoud, Leonard Mermel, Bradford Thompson, Linda Wendell

Open access · greenAbstract readReview
In one paragraph

Review in Neurology. Clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Neuroinvasive eastern equine encephalitis in a previously healthy 56-year-old woman.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  3. Review
  4. 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

8 authors at 3 institutions in 1 country.

Mayra MontalvoDepartment of Neurology (M. Montalvo), Mayo Clinic, Rochester, MN; Rhode Island Hospital (DA, L. Mahmoud), Providence; and Brown University (M. McGary, KB, L. Mermel, BT, LW), Providence, RI.
Dana AyoubDepartment of Neurology (M. Montalvo), Mayo Clinic, Rochester, MN; Rhode Island Hospital (DA, L. Mahmoud), Providence; and Brown University (M. McGary, KB, L. Mermel, BT, LW), Providence, RI.
Michael McGaryDepartment of Neurology (M. Montalvo), Mayo Clinic, Rochester, MN; Rhode Island Hospital (DA, L. Mahmoud), Providence; and Brown University (M. McGary, KB, L. Mermel, BT, LW), Providence, RI.
Katrina ByrdDepartment of Neurology (M. Montalvo), Mayo Clinic, Rochester, MN; Rhode Island Hospital (DA, L. Mahmoud), Providence; and Brown University (M. McGary, KB, L. Mermel, BT, LW), Providence, RI.
Leana MahmoudDepartment of Neurology (M. Montalvo), Mayo Clinic, Rochester, MN; Rhode Island Hospital (DA, L. Mahmoud), Providence; and Brown University (M. McGary, KB, L. Mermel, BT, LW), Providence, RI.
Leonard MermelDepartment of Neurology (M. Montalvo), Mayo Clinic, Rochester, MN; Rhode Island Hospital (DA, L. Mahmoud), Providence; and Brown University (M. McGary, KB, L. Mermel, BT, LW), Providence, RI.
Bradford ThompsonDepartment of Neurology (M. Montalvo), Mayo Clinic, Rochester, MN; Rhode Island Hospital (DA, L. Mahmoud), Providence; and Brown University (M. McGary, KB, L. Mermel, BT, LW), Providence, RI.
Linda WendellDepartment of Neurology (M. Montalvo), Mayo Clinic, Rochester, MN; Rhode Island Hospital (DA, L. Mahmoud), Providence; and Brown University (M. McGary, KB, L. Mermel, BT, LW), Providence, RI.
Mayo Clinic in Arizona · USProvidence College · USRhode Island Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo describe the clinical presentation, diagnosis, management, and outcomes of 4 confirmed Eastern equine encephalitis (EEE) cases and a review of the literature. RECENT

findingsThere was a sharp rise in the number of EEE cases in the United States in 2019, with 38 confirmed cases and 15 deaths. Our institution cared for 10% of patients with neuroinvasive EEE nationwide. These were the first cases seen locally since 2010. SUMMARY: EEE virus causes one of the most lethal types of arboviral encephalitis in the United States with a mortality of 30%-40%. Manifestations of EEE infections can range from mild encephalopathy to coma. Common findings include CSF pleocytosis and involvement of the basal ganglia on MRI. Given the rarity of this disease and nonspecific findings, diagnosis can be challenging, and a high clinical suspicion is important. Management is mainly supportive, and the use of IV immunoglobulin remains controversial. Two of our 4 patients died; these patients had coma within 48 hours, hyponatremia, involvement of bilateral thalami and brainstem, status epilepticus, and severe brain dysfunction in EEG.

Identifiers

PMID34840888
PMCPMC8610530
OpenAlexW3155791080

What OpenQuestion holds

Textmetadata
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.