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ArticleFrontiers in neurology2023

Case report: Two clusters of Creutzfeldt-Jakob disease cases within 1 year in West Michigan.

Ling Ling Rong, Nicholas J Lannen, Evan C Tank, Jessica L Feistel, Christopher J Therasse, Anvita Potluri, Muhib Khan, Jiangyong Min

Abstract readCase Reports
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

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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

8 authors.

Ling Ling RongDepartment of Neurosciences, Corewell Health West, Michigan State University, Grand Rapids, MI, United States.
Nicholas J LannenDepartment of Neurosciences, Corewell Health West, Michigan State University, Grand Rapids, MI, United States.
Evan C TankDepartment of Neurosciences, Corewell Health West, Michigan State University, Grand Rapids, MI, United States.
Jessica L FeistelDepartment of Neurosciences, Corewell Health West, Michigan State University, Grand Rapids, MI, United States.
Christopher J TherasseDepartment of Radiology, Corewell Health West, Michigan State University, Grand Rapids, MI, United States.
Anvita PotluriDepartment of Neurosciences, Corewell Health West, Michigan State University, Grand Rapids, MI, United States.
Muhib KhanDepartment of Neurosciences, Corewell Health West, Michigan State University, Grand Rapids, MI, United States.
Jiangyong MinDepartment of Neurosciences, Corewell Health West, Michigan State University, Grand Rapids, MI, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Creutzfeldt-Jakob disease (CJD) is a rare, rapidly progressive, and uniformly fatal neurodegenerative disease. The reported incidence of CJD is 1 to 2 per million people worldwide annually, with fewer than 1,000 cases in the United States per year. In this study, we report a unique case series on temporo-spatial clusters of CJD cases in West Michigan. Methods: A total of five CJD cases consisting of two temporal clusters were seen from July 2021 to June 2022 at Corewell Health West hospitals. All patients had brain MRI, EEG, and CSF tests. Four patients underwent autopsies. Results: All patients' MRIs showed characteristic CJD patterns. Four patients had positive CJD panels in CSF. One patient had typical CJD EEG findings. Four patients were confirmed as sporadic CJD by autopsy. All patients died within 3 months after CJD was suspected. Discussion: All patients lived within a 90-mile radius of Grand Rapids, MI, and two lived in the same county. West Michigan has a population of 1.6 million people, and the four counties where five patients lived have a combined population of 395,104, indicating CJD's new case rate of 3.1 and 12.5 per million people, respectively. Corewell Health is one of the three major healthcare systems in West Michigan. The actual incidence of CJD in West Michigan is likely even higher. This dense temporal and spatial cluster of CJD cases poses a serious public health challenge and warrants urgent investigation.

Indexed as

clusterCreutzfeldt-Jacob diseaseprionrapidly progressive dementiareal-time quaking-induced conversionWest Michigan

Identifiers

PMID37021286
PMCPMC10067729

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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.