Evidence map›Paper›PMID 34981437›Full record

ArticleJournal of neurovirology2022

Compassionate-use pocapavir and immunoglobulin therapy for treatment of rituximab-associated enterovirus meningoencephalitis.

Samantha Epstein, Riddhi Thakkar, Kathryn T Fong, James Ng, David R Bearden, Nischay Mishra, Kiran T Thakur, Claire S Riley

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Journal of neurovirology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Current infectious disease management challenges in inborn errors of immunity.Annals of clinical microbiology and antimicrobials · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Therapeutic advances in neuroinfectious diseases.Therapeutic advances in infectious disease
    Review
  10. Anti-CD20 associated enterovirus meningoencephalitis: A narrative review with two illustrative cases.Multiple sclerosis journal - experimental, translational and clinical
    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 4 institutions in 1 country.

Samantha EpsteinDepartment of Neurology, New York Presbyterian - Columbia University Irving Medical Center, New York, NY, 10032, USA. see2132@cumc.columbia.edu.ORCID 0000-0003-1158-5430
Riddhi ThakkarCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.
Kathryn T FongSwedish Neuroscience Institute, Seattle, WA, USA.
James NgCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.
David R BeardenDepartment of Neurology, Division of Child Neurology, University of Rochester, Rochester, NY, USA.
Nischay MishraCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.
Kiran T ThakurDepartment of Neurology, New York Presbyterian - Columbia University Irving Medical Center, New York, NY, 10032, USA.
Claire S RileyDepartment of Neurology, New York Presbyterian - Columbia University Irving Medical Center, New York, NY, 10032, USA.ORCID 0000-0002-2133-9607
Columbia University · USColumbia University Irving Medical Center · USSwedish Medical Center · USUniversity of Rochester · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 71-year-old woman previously on rituximab treatment for rheumatoid arthritis presented with 2 years of progressive neurologic symptoms. She was found to have persistent hypogammaglobulinemia and B cell depletion despite rituximab discontinuation a year prior. MRI revealed diffuse meningeal enhancement along the entire neuroaxis. LP showed a CSF lymphocytic pleocytosis, elevated protein, and presence of enterovirus by PCR. The patient was hospitalized several times for progressive clinical and radiologic decline, though she had transient improvements following treatment with immunoglobulin therapy. Her CSF remained positive for enterovirus PCR for at least 12 months. Though two brain biopsies were non-diagnostic, pan-Enterovirus was ultimately identified using a high-throughput next-generation sequencing technique. She was treated with compassionate-use pocapavir with clinical stabilization at 4-month follow-up; however, she expired 8 months later from a bacterial pneumonia.

Indexed as

EnterovirusEnterovirus InfectionsMeningoencephalitisAgedFemaleHumansImmunization, PassivePhenyl EthersRituximabPhenyl EtherspocapavirRituximabAntiviral therapyEnterovirusImmunotherapyMeningoencephalitis

Identifiers

PMID34981437
OpenAlexW4205883337

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.