Evidence map›Paper›PMID 35014614›Full record

ArticleIndian pediatrics2022

Profile of Neurological Manifestations in Children Presenting with Rickettsial Disease.

S B Chiranth, K R Ashwini, Vykuntraju K Gowda, K S Sanjay, Maaz Ahmed, G V Basavaraja

Open access · bronzeAbstract read
In one paragraph

Article in Indian pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 19% 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, 10 citations in OpenAlex.

  1. Tick-induced neurological disorders.Journal of neurology · 2025
    Review
  2. Article
  3. Neurological manifestation of Brazilian spotted fever in childhood.Revista do Instituto de Medicina Tropical de Sao Paulo · 2024
    Article
  4. Cells · 2023
    Article
  5. Advances in the Diagnosis and Treatment of Pediatric Arterial Ischemic Stroke.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    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

6 authors at 1 institution in 1 country.

S B ChiranthDepartment of Pediatric Medicine, Indira Gandhi Institute of Child Health, Bangalore, Karnataka.
K R AshwiniDepartment of Pediatric Medicine, Indira Gandhi Institute of Child Health, Bangalore, Karnataka.
Vykuntraju K GowdaDepartment of Pediatric Neurology, Indira Gandhi Institute of Child Health, Bangalore, Karnataka.
K S SanjayDepartment of Pediatric Medicine, Indira Gandhi Institute of Child Health, Bangalore, Karnataka.
Maaz AhmedDepartment of Pediatric Medicine, Indira Gandhi Institute of Child Health, Bangalore, Karnataka.
G V BasavarajaDepartment of Pediatric Medicine, Indira Gandhi Institute of Child Health, Bangalore, Karnataka. Correspondence to: Prof GV Basavaraja, Pediatric Medicine, Indira Gandhi Institute of Child Health, Bangalore, Karnataka. basavgv@gmail.com.
Indira Gandhi Institute of Child Health · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the profile of neurological manifestation of rickettsial disease in children.

methodsReview of hospital records was done in a tertiary care hospital for the period from January to December, 2020. Data of all the children fulfilling the inclusion criteria i.e., clinical criteria and serology were retrieved from the hospital records.

resultsOf the total 7974 children admitted over this period, 178 were diagnosed with rickettsial disease wherein 54 (33.3%) had neurological involvement. Convulsions (59%), altered sensorium (56%), headache (44%), meningeal signs (37%), ataxia, (11%), lateral rectus palsy (7.5%) and stroke (7.5%) were the major neurological manifestations. Cerebrospinal fluid (CSF) analysis done in 30 (55%) children showed pleocytosis [median (IQR) cells 15 (3.75, 50)] with lymphocyte predominance [median (IQR) lymphocytes 11.5 (3, 38.75)] and elevated proteins [median IQR 41.5 (29.75,61)]. Neuroimaging abnormalities noticed were cerebral edema (n=7), cerebellar hyperintensities (n=5), basal ganglia infarcts (n=2) and hippocampal hyperintensities (n=1).

conclusionEarly recognition of rickettsial infection as a cause of neurological manifestation would facilitate early specific management.

Indexed as

NeuroimagingRickettsia InfectionsChildHumansSeizures

Identifiers

PMID35014614
PMCPMC8964390
OpenAlexW4206866095

What OpenQuestion holds

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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.