Evidence map›Paper›PMID 36821024›Full record

ArticleInfection2023

First detected geographical cluster of BoDV-1 encephalitis from same small village in two children: therapeutic considerations and epidemiological implications.

Leonie Grosse, Victoria Lieftüchter, Yannik Vollmuth, Florian Hoffmann, Martin Olivieri, Karl Reiter, Moritz Tacke, Florian Heinen, Ingo Borggraefe, Andreas Osterman and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 25 citations in OpenAlex.

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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

22 authors at 4 institutions in 1 country.

Leonie Grosse *Department of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany. Leonie.Grosse@med.uni-muenchen.de.
Victoria Lieftüchter *Department of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany. victoria.lieftuechter@med.uni-muenchen.de.
Yannik VollmuthDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Florian HoffmannDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Martin OlivieriDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Karl ReiterDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Moritz TackeDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Florian HeinenDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Ingo BorggraefeDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Andreas OstermanMax-Von-Pettenkofer Institute, Ludwig-Maximilians-University, Munich, Germany.
Maria ForstnerDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Johannes HübnerDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Ulrich von BothDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Lena BirzeleDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Meino RohlfsDepartment of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Lindwurmstr. 4, 80377, Munich, Germany.
Adrian SchomburgDepartment of Physiological Chemistry, LMU Biomedical Center Munich, Ludwig-Maximilians-University, Munich, Germany.
Merle M BöhmerDepartment of Infectious Disease Epidemiology, Bavarian Health and Food Safety Authority, Munich, Germany.
Viktoria RufCenter for Neuropathology and Prion Research, Ludwig-Maximilians-University, Munich, Germany.
Dániel CadarBernhard Nocht Institute for Tropical Medicine, Bernhard-Nocht-Str. 74, 20359, Hamburg, Germany.
Birgit MuntauBernhard Nocht Institute for Tropical Medicine, Bernhard-Nocht-Str. 74, 20359, Hamburg, Germany.
Kirsten Pörtner *Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.
Dennis Tappe *Bernhard Nocht Institute for Tropical Medicine, Bernhard-Nocht-Str. 74, 20359, Hamburg, Germany. tappe@bnitm.de.
Ludwig-Maximilians-Universität München · DEBernhard Nocht Institute for Tropical Medicine · DEOtto-von-Guericke University Magdeburg · DERobert Koch Institute · DE

Funding

Bundesministerium für Bildung und Forschung 01KI2005C and FBundesministerium für Bildung und Forschung 13N15449
6 · The paper itself

Abstract

backgroundThe Borna disease virus (BoDV-1) is an emerging zoonotic virus causing severe and mostly fatal encephalitis in humans. METHODS AND

resultsA local cluster of fatal BoDV-1 encephalitis cases was detected in the same village three years apart affecting two children. While the first case was diagnosed late in the course of disease, a very early diagnosis and treatment attempt facilitated by heightened awareness was achieved in the second case. Therapy started as early as day 12 of disease. Antiviral therapy encompassed favipiravir and ribavirin, and, after bioinformatic modelling, also remdesivir. As the disease is immunopathogenetically mediated, an intensified anti-inflammatory therapy was administered. Following initial impressive clinical improvement, the course was also fatal, although clearly prolonged. Viral RNA was detected by qPCR in tear fluid and saliva, constituting a possible transmission risk for health care professionals. Highest viral loads were found post mortem in the olfactory nerve and the limbic system, possibly reflecting the portal of entry for BoDV-1. Whole exome sequencing in both patients yielded no hint for underlying immunodeficiency. Full virus genomes belonging to the same cluster were obtained in both cases by next-generation sequencing. Sequences were not identical, indicating viral diversity in natural reservoirs. Specific transmission events or a common source of infection were not found by structured interviews. Patients lived 750m apart from each other and on the fringe of the settlement, a recently shown relevant risk factor.

conclusionOur report highlights the urgent necessity of effective treatment strategies, heightened awareness and early diagnosis. Gaps of knowledge regarding risk factors, transmission events, and tailored prevention methods become apparent. Whether this case cluster reflects endemicity or a geographical hot spot needs further investigation.

Indexed as

Borna DiseaseBorna disease virusEncephalitisVirusesAnimalsChildHumansRNA, ViralRNA, ViralBorna disease virusBornavirusEpidemiologyImmunosuppressionTransmissionTreatment

Identifiers

PMID36821024
PMCPMC9947883
OpenAlexW4321597334

What OpenQuestion holds

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LicenceCC BY
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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.