Evidence map›Paper›PMID 38524092›Full record

ArticleCureus2024

Varicella-Zoster Meningitis and Myelitis After Herpes Zoster Dermatitis Treatment With Amenamevir: A Case Series and Literature Review.

Satoru Tada, Yuta Kaito, Akihiro Watanabe, Yukio Sugiyama, Akira Nishigaichi, Takashi Miwa, Kotaro Watanabe, Takanori Hazama, Daisuke Takahashi

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.5field-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

7 citing papers in PubMed, 9 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

9 authors at 3 institutions in 1 country.

Satoru TadaDepartment of Neurology, Osaka University Graduate School of Medicine, Osaka, JPN.
Yuta KaitoDepartment of Neurology, National Hospital Organization Osaka Minami Medical Center, Osaka, JPN.
Akihiro WatanabeDepartment of Neurology, National Hospital Organization Osaka Minami Medical Center, Osaka, JPN.
Yukio SugiyamaDepartment of Neurology, National Hospital Organization Osaka Minami Medical Center, Osaka, JPN.
Akira NishigaichiDepartment of Rheumatology, National Hospital Organization Osaka Minami Medical Center, Osaka, JPN.
Takashi MiwaDepartment of Neurology, National Hospital Organization Osaka Minami Medical Center, Osaka, JPN.
Kotaro WatanabeDepartment of Neurology, National Hospital Organization Osaka Minami Medical Center, Osaka, JPN.
Takanori HazamaDepartment of Neurology, National Hospital Organization Osaka Minami Medical Center, Osaka, JPN.
Daisuke TakahashiDepartment of Neurology, National Hospital Organization Osaka Minami Medical Center, Osaka, JPN.
Osaka Minami Medical Center · JPOsaka City University · JPOsaka University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Varicella-zoster virus (VZV), known for causing chickenpox, establishes latent infections in neural tissues. Reactivation of VZV can lead to herpes zoster (HZ) and various neurological complications. In this report, we present four cases of VZV meningitis and myelitis following amenamevir treatment for HZ dermatitis with positive VZV DNA in cerebrospinal fluid (CSF) revealed by polymerase chain reaction (PCR). Three of them were considered immunocompromised hosts given the fact that two of these patients were taking immunosuppressive drugs for rheumatoid arthritis, and one patient had a history of sigmoid colon cancer (four months after resection). After HZ onset, amenamevir, which has poor CSF transfer, was prescribed for all the patients, and all of them developed central nervous complications by VZV (meningitis in three cases and myelitis in one case) confirmed by PCR. All the patients were treated with acyclovir, which has a higher CSF transfer, and fully recovered. We speculate that amenamevir might have failed to prevent VZV infection in the central nervous system (CNS) and think that consideration should be given to administering acyclovir in preference to amenamevir for ΗΖ patients at high risk of CNS VZV infection, such as immunocompromised hosts.

Indexed as

acycloviramenamevircentral nervous systemherpes zostermeningitismyelitisvaricella zoster virus

Identifiers

PMID38524092
PMCPMC10961168
OpenAlexW4392121195

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.