Evidence map›Paper›PMID 35441609›Full record

ArticleActa bio-medica : Atenei Parmensis2022

Human Herpes Virus 7-related encephalopathy in children.

Thomas Foiadelli, Virginia Rossi, Stefania Paolucci, Francesca Rovida, Federica Novazzi, Alessandro Orsini, Ilaria Brambilla, Gian Luigi Marseglia, Fausto Baldanti, Salvatore Savasta

Open access · greenAbstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
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  4. Severe Human Herpesvirus 7 Infection in Healthy Children.Fukushima journal of medical science · 2025
    Article
  5. Review
  6. Review
  7. Article
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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

10 authors at 4 institutions in 2 countries.

Thomas FoiadelliPediatric Clinic, IRCCS Policlinico San Matteo Foundation, Pavia, Italy. t.foiadelli@smatteo.pv.it.
Virginia RossiPediatric Clinic, IRCCS Policlinico San Matteo Foundation, Pavia, Italy. virginia.rossi01@universitadipavia.it.
Stefania PaolucciMolecular Virology Unit, Department of Diagnostic Medicine, IRCCS Policlinico San Matteo Foundation, Pavia, Italy. S.Paolucci@smatteo.pv.it.
Francesca RovidaMolecular Virology Unit, Department of Diagnostic Medicine, IRCCS Policlinico San Matteo Foundation, Pavia, Italy. F.Rovida@smatteo.pv.it.
Federica NovazziMolecular Virology Unit, Department of Diagnostic Medicine, IRCCS Policlinico San Matteo Foundation, Pavia, Italy. Federica.novazzi@asst-settelaghi.it.
Alessandro OrsiniPediatric Neurology, Pediatric University Department, Azienda Ospedaliera Universitaria Pisana, University of Pisa, Italy. aorsini.md@gmail.com.
Ilaria BrambillaPediatric Clinic, IRCCS Policlinico San Matteo Foundation, Pavia, Italy. i.brambilla@smatteo.pv.it.
Gian Luigi MarsegliaPediatric Clinic, IRCCS Policlinico San Matteo Foundation, Pavia, Italy. gl.marseglia@smatteo.pv.it.
Fausto BaldantiDepartment of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy. fausto.baldanti@unipv.it.
Salvatore SavastaPediatric Clinic, IRCCS Policlinico San Matteo Foundation, Pavia, Italy. salvatore.savasta@asst-crema.it.
Policlinico San Matteo Fondazione · ITAzienda Ospedaliera Universitaria Pisana · ITIntensive Care Foundation · AUUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary HHV7 infection is almost ubiquitous, and it can present as exanthema subitem. Little is known on the clinical relevance of HHV7 neuroinvasion in immunocompetent children.

methodsWe describe 12 patients (median age 9.45 years, 50% males) with acute encephalopathy and active HHV7 infection. In all patients, HHV7-DNA was detected on cerebrospinal fluid (CSF) by RT-PCR.

results7/12 patients had meningoencephalitis (two with ADEM and one with MOG antibody-associated CIS); 5/12 showed acute neuropsychiatric symptoms. EEG showed anomalies exclusively in patients with meningoencephalitis. Six patients had RMN anomalies. CSF HHV7 copies ranged between 20 and 3,500 copies/mL (median 66 copies/mL) and mean HHV7 CSF/blood ratio was 0.75. Outcome was favorable in all children, although 3/12 had minor neurobehavioral sequelae. Mean follow-up period of 5.2 months.

conclusionsHHV7 can determine neuroinvasion in immunocompetent children, leading to acute encephalopathy. Blood-brain barrier damage and high CSF/blood viral copies ratio correlated with a more severe presentation. We speculate on the importance of immune-mediated mechanisms in provoking clinical features.

Indexed as

Brain DiseasesHerpesvirus 7, HumanMeningoencephalitisRoseolovirus InfectionsChildFemaleHumansMale

Identifiers

PMID35441609
PMCPMC9179060
OpenAlexW4224281536

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.