Evidence map›Paper›PMID 39548405›Full record

ArticleBMC pediatrics2024

The diagnostic value of peripheral blood lymphocyte testing in children with infectious mononucleosis.

Jingxin Zhou, Jia Zhang, Dan Zhu, Wentong Ma, Qing Zhong, Qin Shen, Jing Su

Abstract read
In one paragraph

Article in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The PD-1/PD-L1 pathway and Epstein-Barr virus.European journal of medical research · 2025
    Review
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

7 authors.

Jingxin Zhou *Department of Hematology, Suqian First Hospital, No. 120, Suzhi Road, Sucheng District, Suqian City, Jiangsu Province, 223800, China.
Jia Zhang *Department of Pediatrics, Suqian First Hospital, No. 120, Suzhi Road, Sucheng District, Suqian City, Jiangsu Province, 223800, China.
Dan ZhuDepartment Of Clinical Laboratory, Suqian Children's Hospital, No. 1, Qinghai Lake Road, Sucheng District, Suqian City, Jiangsu Province, 223800, China.
Wentong MaIntensive Care Unit, Suqian First Hospital, No. 120, Suzhi Road, Sucheng District, Suqian City, Jiangsu Province, 223800, China.
Qing ZhongHematology Laboratory, Suqian First Hospital, No. 120, Suzhi Road, Sucheng District, Suqian City, Jiangsu Province, 223800, China.
Qin ShenDepartment of Pediatrics, Suqian First Hospital, No. 120, Suzhi Road, Sucheng District, Suqian City, Jiangsu Province, 223800, China. shenqin2028@163.com.
Jing SuHematology Laboratory, Suqian First Hospital, No. 120, Suzhi Road, Sucheng District, Suqian City, Jiangsu Province, 223800, China. 928007387@qq.com.

Funding

Research General Project of Jiangsu Provincial Health Commission H2023147Suqian Sci&Tech Program K202309the Science and Technology Program Xuzhou Medical University XYFM202216
6 · The paper itself

Abstract

objectiveTo investigate the diagnostic value of peripheral blood lymphocyte testing in children with infectious mononucleosis (IM).

methodsA total of 135 children with IM as the IM group and 100 healthy volunteers as the healthy group were included in this retrospective study. Peripheral blood lymphocyte subsets marked as CD3+, CD4+, CD8+, CD16 + CD56+, and CD19 + in the peripheral blood were quantified using flow cytometry. Statistical analysis was performed using the chi-square test, Kruskal-Wallis test, AUROC curve, and Kappa consistency test to assess the diagnostic value of these markers in IM.

resultsThe AUROC curve for CD8 + cells and for CD4+/CD8 + ratios both achieved a value of 1 with the sensitivity and specificity of 100% (P<0.001). The Kappa coefficients were 1 for CD8+, CD4+/CD8 + ratios and the combined EBV analysis, indicating a 100% consistency with the clinical diagnosis. Significant differences were also observed in the CD3+, CD4+, CD16 + CD56+, and CD19 + lymphocyte subsets between the IM group and the healthy group (P<0.05).

conclusionThe evaluation of CD8 + and CD4+/CD8 + ratios in peripheral blood lymphocytes represents a significant advancement in the diagnosis of IM. Peripheral blood lymphocyte testing offers a reliable, sensitive, and specific diagnostic tool to enhance the clinical management of children with IM.

Indexed as

Flow CytometryInfectious MononucleosisAdolescentCase-Control StudiesCD4-CD8 RatioChildChild, PreschoolFemaleHumansLymphocyte CountLymphocyte SubsetsMaleRetrospective StudiesROC CurveSensitivity and SpecificityAUROCCD4/CD8CD8Infectious mononucleosisPeripheral blood lymphocyte testing

Identifiers

PMID39548405
PMCPMC11568541

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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.