Evidence map›Paper›PMID 36470282›Full record

ReviewThe Lancet. Infectious diseases2023

Monkeypox encephalitis with transverse myelitis in a female patient.

Joby Cole, Saher Choudry, Saminderjit Kular, Thomas Payne, Suha Akili, Helen Callaby, N Claire Gordon, Michael Ankcorn, Andrew Martin, Esther Hobson and 1 more

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in The Lancet. Infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
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  12. Article
  13. Review
  14. Monkeypox virus infection of human astrocytes causes gasdermin B cleavage and pyroptosis.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  15. Article
  16. Review
  17. Update on Mpox: a brief narrative review.Le infezioni in medicina · 2023
    Review
  18. Observational
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

11 authors at 3 institutions in 1 country.

Joby ColeDepartment of Infectious Diseases and Tropical Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK; Department of Infection, Immunity, and Cardiovascular Diseases, University of Sheffield, Sheffield, UK. Electronic address: joby.cole1@nhs.net.
Saher ChoudryDepartment of Infectious Diseases and Tropical Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Saminderjit KularDepartment of Neuroradiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Thomas PayneAcademic Department of Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Suha AkiliDepartment of Infectious Diseases and Tropical Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK; Department of Virology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Helen CallabyRare and Imported Pathogens Laboratory, UK Health Security Agency, Porton Down, UK.
N Claire GordonRare and Imported Pathogens Laboratory, UK Health Security Agency, Porton Down, UK.
Michael AnkcornDepartment of Infectious Diseases and Tropical Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK; Department of Virology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Andrew MartinDepartment of Neuroradiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Esther HobsonAcademic Department of Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK; Sheffield Institute for Translational Neuroscience, University of Sheffield, Sheffield, UK.
Anne J TunbridgeDepartment of Infectious Diseases and Tropical Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Sheffield Teaching Hospitals NHS Foundation Trust · GBEnvironment Agency · GBRoyal Hallamshire Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The 2022 monkeypox outbreak has affected 110 countries worldwide, outside of classic endemic areas (ie, west Africa and central Africa). On July 23, 2022, the outbreak was classified by WHO as a public health emergency of international concern. Clinical presentation varies from mild to life-changing symptoms; neurological complications are relatively uncommon and there are few therapeutic interventions for monkeypox disease. In this Grand Round, we present a case of monkeypox with encephalitis complicated by transverse myelitis in a previously healthy woman aged 35 years who made an almost complete recovery from her neurological symptoms after treatment with tecovirimat, cidofovir, steroids, and plasma exchange. We describe neurological complications associated with orthopoxvirus infections and laboratory diagnosis, the radiological features in this case, and discuss treatment options.

Indexed as

EncephalitisMpox, MonkeypoxMyelitis, TransverseAfrica, WesternBenzamidesFemaleHumansBenzamides

Identifiers

PMID36470282
PMCPMC9718539
OpenAlexW4311183653

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.