Evidence map›Paper›PMID 35663067›Full record

ArticleWorld journal of clinical cases2022

Diagnosis of cytomegalovirus encephalitis using metagenomic next-generation sequencing of blood and cerebrospinal fluid: A case report.

Chang-Qing Xu, Xia-Ling Chen, Dong-Sheng Zhang, Jia-Wei Wang, Hong Yuan, Wei-Fan Chen, Han Xia, Zhong-Yin Zhang, Fu-Hua Peng

Open access · diamondAbstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  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

9 authors at 2 institutions in 1 country.

Chang-Qing XuDepartment of Neurology, Dongguan Kanghua Hospital, Dongguan 523080, Guangdong Province, China.
Xia-Ling ChenDepartment of Neurology, Dongguan Kanghua Hospital, Dongguan 523080, Guangdong Province, China.
Dong-Sheng ZhangDepartment of Neurology, Dongguan Kanghua Hospital, Dongguan 523080, Guangdong Province, China.
Jia-Wei WangDepartment of Neurology, Dongguan Kanghua Hospital, Dongguan 523080, Guangdong Province, China.
Hong YuanDepartment of Neurology, Dongguan Kanghua Hospital, Dongguan 523080, Guangdong Province, China.
Wei-Fan ChenDepartment of Neurology, Dongguan Kanghua Hospital, Dongguan 523080, Guangdong Province, China.
Han XiaDepartment of Scientific Affairs, Hugobiotech Co., Ltd., Beijing 100176, China.
Zhong-Yin ZhangDepartment of Neurology, Dongguan Kanghua Hospital, Dongguan 523080, Guangdong Province, China.
Fu-Hua PengDepartment of Neurology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, Guangdong Province, China. pengfh@mail.sysu.edu.cn.
Dongguan People’s Hospital · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCytomegalovirus (CMV) infections in the population are mostly subclinical, inapparent, or latent. However, it is rare in brain tissue. Most reported CMV encephalitis cases were patients with immunodeficiency. The diagnosis and detection rate of CMV encephalitis in patients with normal immune function needs to be further improved. CASE SUMMARY: An 86-year-old male was admitted due to a sudden onset of unconsciousness for 3 h. The patient developed status epilepticus and was relieved after antiepileptic treatment. Encephalitis was considered due to the high signals of diffusion-weighted imaging sequences in the right central region by magnetic resonance imaging. Metagenomic next-generation sequencing (mNGS) of blood and cerebrospinal fluid revealed CMV, with unique reads number being 614 and 1, respectively. Simultaneous quantitative PCR results showed CMV positive in blood samples and negative in cerebrospinal fluid samples. The patient was finally diagnosed as CMV encephalitis with status epilepticus. After the antiviral, hormonal, and γ-globulin pulse therapy, the patient's condition improved, and he was finally discharged.

conclusionmNGS could be a reliable approach for the diagnosis of CMV encephalitis, with high efficiency, sensitivity, and specificity.

Indexed as

Case reportCytomegalovirus encephalitisDiagnosisMetagenomic next-generation sequencingQuantitative real-time PCR

Identifiers

PMID35663067
PMCPMC9125273
OpenAlexW4229034353

What OpenQuestion holds

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LicenceCC BY-NC
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.