Evidence map›Paper›PMID 39691294›Full record

ArticleOpen forum infectious diseases2024

In Children,

Nguyen Hoang Thien Huong, Nguyen Duc Toan, Tran Ba Thien, Truong Huu Khanh, Nguyen Minh Tuan, Tran Thanh Truc, Nguyen An Nghia, Le Quoc Thinh, Nguyen Thi Kim Thoa, Le Nguyen Thanh Nhan and 7 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Clinical recovery of severe infantileWorld journal of clinical pediatrics · 2026
    Article
  2. Article
  3. Article
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

17 authors.

Nguyen Hoang Thien HuongEmerging Infections Group, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0001-6096-4029
Nguyen Duc ToanClinical Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0003-0904-9807
Tran Ba ThienEmerging Infections Group, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0009-0007-2964-7747
Truong Huu KhanhClinical Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.
Nguyen Minh TuanClinical Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.
Tran Thanh TrucClinical Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.
Nguyen An NghiaClinical Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0009-0008-6632-1508
Le Quoc ThinhClinical Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.
Nguyen Thi Kim ThoaDepartment of Pediatrics, University of Health Sciences, Vietnam National University, Ho Chi Minh City, Vietnam.
Le Nguyen Thanh NhanClinical Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.
Ngo Ngoc Quang MinhClinical Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.
Hugo C TurnerMedical Research Council Centre for Global Infectious Disease Analysis, School of Public Health, Imperial College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-8428-3874
C Louise ThwaitesEmerging Infections Group, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0002-4666-9813
Nguyen Thanh HungClinical Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0002-6944-2419
Le Van TanEmerging Infections Group, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.ORCID https://orcid.org/0000-0002-1791-3901
Sarosh R IraniDepartments of Neurology and Neurosciences, Mayo Clinic, Jacksonville, Florida, USA.ORCID https://orcid.org/0000-0002-7667-9748
Du Tuan QuyClinical Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.

Funding

Medical Research Council MR/V007173/1Medical Research Council MR/X020258/1
6 · The paper itself

Abstract

Background: The recognition of autoimmune causes of encephalitis has led to epidemiological shifts in the worldwide characteristics of encephalitis. Methods: The study was prospectively conducted at Children's Hospital 1 in Ho Chi Minh City between March 2020 and December 2022. Any child admitted to the Department of Infectious Diseases and Neurology fulfilling the case definition of encephalitis was eligible to participate. Cerebrospinal fluid samples were collected alongside meta-clinical data for analysis. Results: We recruited 164 children with a clinical diagnosis of encephalitis. Etiologies were determined as NMDAR antibody encephalitis in 23 of 164 cases (14.0%), Japanese encephalitis virus in 14 of 164 (8.5%), and herpes simplex virus in 4 of 164 (2.4%). Clinical categorizations suggested idiopathic viral encephalitis in another 71 (43.3%), and autoimmune encephalitis of unknown origin in the remaining 52. Factors including demographics, specific clinical features, cerebrospinal fluid and electroencephalogram findings, and length of hospital stay were significantly different between NMDAR antibody encephalitis and Japanese encephalitis. Conclusions: At a tertiary children's hospital in Vietnam, the prevalence of NMDAR antibody encephalitis exceeds that of Japanese encephalitis, the most common infectious encephalitis cause in Southeast Asia. NMDAR antibody encephalitis is associated with long hospital stay and poor outcomes. These findings should change pediatric diagnostics, to earlier consider autoimmune treatments in this clinical setting.

Indexed as

childrenencephalitisherpes simplex virusJapanese encephalitis virusN-methyl-D-aspartate receptor antibody encephalitis

Identifiers

PMID39691294
PMCPMC11651147

What OpenQuestion holds

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LicenceCC BY-NC
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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.