Evidence map›Paper›PMID 37542071›Full record

ArticleNature communications2023

Metagenomic surveillance uncovers diverse and novel viral taxa in febrile patients from Nigeria.

Judith U Oguzie, Brittany A Petros, Paul E Oluniyi, Samar B Mehta, Philomena E Eromon, Parvathy Nair, Opeoluwa Adewale-Fasoro, Peace Damilola Ifoga, Ikponmwosa Odia, Andrzej Pastusiak and 29 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.9field-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

24 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Oral and plasma microbiome in the context of acute febrile illness.medRxiv : the preprint server for health sciences · 2026
    Article
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  7. Novel Astrovirus Detected in Nasal Swabs of Sick Cattle, Mexico.Influenza and other respiratory viruses · 2026
    Article
  8. Review
  9. High Burden of Coinfections With Epidemic-Prone Pathogens Among Febrile Patients in Nigeria: A Multi-Pathogen Surveillance Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  10. Article
  11. Evidence of dengue virus transmission and a diversebioRxiv : the preprint server for biology · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Insect-specific Alphamesonivirus-1 (Journal of virology · 2025
    Article
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  17. 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

39 authors at 10 institutions in 3 countries.

Judith U Oguzie *Department of Biological Sciences, Faculty of Natural Sciences, Redeemer's University, Ede, Osun State, Nigeria.ORCID http://orcid.org/0000-0003-0592-6905
Brittany A Petros *Broad Institute of Harvard and MIT, Cambridge, MA, USA.ORCID http://orcid.org/0000-0003-2110-7475
Paul E Oluniyi *Department of Biological Sciences, Faculty of Natural Sciences, Redeemer's University, Ede, Osun State, Nigeria.ORCID http://orcid.org/0000-0002-2651-2149
Samar B MehtaDepartment of Medicine, University of Maryland Medical Center, Baltimore, MA, USA.
Philomena E EromonAfrican Centre of Excellence for Genomics of Infectious Diseases (ACEGID), Redeemer's University, Ede, Osun State, Nigeria.
Parvathy NairHoward Hughes Medical Institute, Chevy Chase, MD, USA.
Opeoluwa Adewale-FasoroDepartment of Biological Sciences, Faculty of Natural Sciences, Redeemer's University, Ede, Osun State, Nigeria.
Peace Damilola IfogaDepartment of Biological Sciences, Faculty of Natural Sciences, Redeemer's University, Ede, Osun State, Nigeria.
Ikponmwosa OdiaIrrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Andrzej PastusiakMicrosoft Premonition, Redmond, WA, USA.
Otitoola Shobi GbemisolaAfrican Centre of Excellence for Genomics of Infectious Diseases (ACEGID), Redeemer's University, Ede, Osun State, Nigeria.
John Oke AiyepadaIrrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Eghosasere Anthonia UyigueIrrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Akhilomen Patience EdamhandeIrrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Osiemi BlessingIrrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Michael AirendeIrrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Christopher Tomkins-TinchBroad Institute of Harvard and MIT, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-9114-6421
James QuBroad Institute of Harvard and MIT, Cambridge, MA, USA.
Liam StensonBroad Institute of Harvard and MIT, Cambridge, MA, USA.
Stephen F SchaffnerBroad Institute of Harvard and MIT, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-6699-3568
Nicholas OyejideAfrican Centre of Excellence for Genomics of Infectious Diseases (ACEGID), Redeemer's University, Ede, Osun State, Nigeria.
Nnenna A AjayiAlex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.ORCID http://orcid.org/0000-0002-2298-5846
Kingsley OjideAlex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.
Onwe OgahAlex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.
Chukwuyem AbejegahFederal Medical Center, Owo, Ondo State, Nigeria.
Nelson AdedosuFederal Medical Center, Owo, Ondo State, Nigeria.
Oluwafemi AyodejiFederal Medical Center, Owo, Ondo State, Nigeria.
Ahmed A LiasuFederal Medical Center, Owo, Ondo State, Nigeria.
Sylvanus OkogbeninIrrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Peter O OkokhereIrrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Daniel J ParkBroad Institute of Harvard and MIT, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-7226-7781
Onikepe A FolarinDepartment of Biological Sciences, Faculty of Natural Sciences, Redeemer's University, Ede, Osun State, Nigeria.ORCID http://orcid.org/0000-0001-7283-2920
Isaac KomolafeDepartment of Biological Sciences, Faculty of Natural Sciences, Redeemer's University, Ede, Osun State, Nigeria.
Chikwe IhekweazuNigeria Center for Disease Control, Abuja, Nigeria.
Simon D W FrostMicrosoft Premonition, Redmond, WA, USA.
Ethan K JacksonMicrosoft Premonition, Redmond, WA, USA.
Katherine J SiddleBroad Institute of Harvard and MIT, Cambridge, MA, USA. katherine_siddle@brown.edu.ORCID http://orcid.org/0000-0002-1799-7295
Pardis C SabetiBroad Institute of Harvard and MIT, Cambridge, MA, USA. pardis@broadinstitute.org.ORCID http://orcid.org/0000-0002-9843-1890
Christian T HappiDepartment of Biological Sciences, Faculty of Natural Sciences, Redeemer's University, Ede, Osun State, Nigeria. happic@run.edu.ng.ORCID http://orcid.org/0000-0002-3056-6705
Redeemer's University · NGBroad Institute · USIrrua Specialist Teaching Hospital · NGFederal Medical Centre · NGFederal Teaching Hospital Abakaliki · NGMicrosoft (United States) · USHarvard University · USHoward Hughes Medical Institute · USNigeria Centre for Disease Control · NGUniversity of Maryland, Baltimore · US

Funding

Viral Genomics: evolution, spread, and host interactionsU19AI110818 · NIAID · BROAD INSTITUTE, INC. · PI NEAFSEY, DANIEL E · 2014 to 2024
$66.5M
Medical Scientist Training ProgramT32GM007753 · NIGMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WALENSKY, LOREN DAVID · 1985 to 2021
$50.0M
Medical Scientist Training ProgramT32GM144273 · NIGMS · HARVARD MEDICAL SCHOOL · PI David Shumway Jones, Jacqueline A. Lees · 2022 to 2026
$14.7M
West African Emerging Infectious Disease Research Center (WA-EIDRC)U01AI151812 · NIAID · SCRIPPS RESEARCH INSTITUTE, THE · PI ANDERSEN, KRISTIAN GRAUGAARD, GARRY, ROBERT F · 2020 to 2024
$13.2M
Utilize Microbial Metagenomics for Viral Pathogen CharacterizationU54HG007480 · NHGRI · REDEEMER'S UNIVERSITY · PI HAPPI, CHRISTIAN T. · 2017 to 2022
$5.5M
Host and Microbial Genetic Determinants of Febrile Illness in West AfricaU01HG007480 · NHGRI · REDEEMER'S UNIVERSITY · PI HAPPI, CHRISTIAN T. · 2013 to 2016
$1.6M
Howard Hughes Medical InstituteNHGRI NIH HHS U01 HG007480NHGRI NIH HHS U54 HG007480NIAID NIH HHS U01 AI151812NIAID NIH HHS U19 AI110818NIGMS NIH HHS T32 GM007753NIGMS NIH HHS T32 GM144273
6 · The paper itself

Abstract

Effective infectious disease surveillance in high-risk regions is critical for clinical care and pandemic preemption; however, few clinical diagnostics are available for the wide range of potential human pathogens. Here, we conduct unbiased metagenomic sequencing of 593 samples from febrile Nigerian patients collected in three settings: i) population-level surveillance of individuals presenting with symptoms consistent with Lassa Fever (LF); ii) real-time investigations of outbreaks with suspected infectious etiologies; and iii) undiagnosed clinically challenging cases. We identify 13 distinct viruses, including the second and third documented cases of human blood-associated dicistrovirus, and a highly divergent, unclassified dicistrovirus that we name human blood-associated dicistrovirus 2. We show that pegivirus C is a common co-infection in individuals with LF and is associated with lower Lassa viral loads and favorable outcomes. We help uncover the causes of three outbreaks as yellow fever virus, monkeypox virus, and a noninfectious cause, the latter ultimately determined to be pesticide poisoning. We demonstrate that a local, Nigerian-driven metagenomics response to complex public health scenarios generates accurate, real-time differential diagnoses, yielding insights that inform policy.

Indexed as

Lassa FeverVirusesHumansLassa virusMetagenomicsMpox, MonkeypoxNigeria

Identifiers

PMID37542071
PMCPMC10403498
OpenAlexW4385575442

What OpenQuestion holds

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Registered trials

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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.