Evidence map›Paper›PMID 40259210›Full record

ArticleBMC infectious diseases2025

Kaposi sarcoma herpesvirus (KSHV) inflammatory cytokine syndrome (KICS): a case study.

Ming Hong Choi, Ching See Leung, Laura Pui Yee To, Shui Wun Lai, Man Chun Chan, Thomas Shiu Hong Chik, Daphne Pui Ling Lau, Elaine Yuen Ling Au, Kwok Yung Yuen, Ivan Fan Ngai Hung and 1 more

Abstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Infections After Kidney Transplantation From Donors With HIV to Recipients With HIV.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Observational
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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

11 authors.

Ming Hong ChoiDivision of Infectious Diseases, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong Special Administrative Region, People's Republic of China.
Ching See LeungDivision of Infectious Diseases, Department of Medicine and Geriatrics, Princess Margret Hospital, Hong Kong Special Administrative Region, People's Republic of China.
Laura Pui Yee ToDivision of Infectious Diseases, Department of Medicine and Geriatrics, Princess Margret Hospital, Hong Kong Special Administrative Region, People's Republic of China.
Shui Wun LaiDivision of Anatomical Pathology, Department of Pathology, Princess Margret Hospital, Hong Kong Special Administrative Region, People's Republic of China.
Man Chun ChanDivision of Infectious Diseases, Department of Medicine and Geriatrics, Princess Margret Hospital, Hong Kong Special Administrative Region, People's Republic of China.
Thomas Shiu Hong ChikDivision of Infectious Diseases, Department of Medicine and Geriatrics, Princess Margret Hospital, Hong Kong Special Administrative Region, People's Republic of China.
Daphne Pui Ling LauDivision of Infectious Diseases, Department of Medicine and Geriatrics, Princess Margret Hospital, Hong Kong Special Administrative Region, People's Republic of China.
Elaine Yuen Ling AuDivision of Immunology, Department of Pathology, Queen Mary Hospital, The University of Hong Kong, Hong Kong Special Administrative Region, People's Republic of China.
Kwok Yung YuenState Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, Li Ka Shing Faculty of Medicine, Carol Yu Centre for Infection, The University of Hong Kong, Hong Kong Special Administrative Region, People's Republic of China.
Ivan Fan Ngai HungDivision of Infectious Diseases, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong Special Administrative Region, People's Republic of China.
Tak Yin TsangDivision of Infectious Diseases, Department of Medicine and Geriatrics, Princess Margret Hospital, Hong Kong Special Administrative Region, People's Republic of China. tsangty@ha.org.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKaposi sarcoma herpesvirus-inflammatory cytokine syndrome (KICS) is a rare, life-threatening condition associated with Kaposi sarcoma and systemic immune dysregulation induced by Human Herpesvirus 8 (HHV-8). With a mortality rate approaching 60% CASE PRESENTATION: A 59-year-old British male with a controlled HIV infection on Bictegravir/Emtricitabine/Tenofovir alafenamide presented with fever, malaise, lymphadenopathy, splenomegaly, and a purplish plantar plaque. Laboratory findings included anaemia, thrombocytopenia, hypoalbuminemia, hyponatremia, elevated inflammatory markers, and a high HHV-8 level. Diagnosis of HHV-8 positive lymph nodes and Kaposi sarcoma on the plantar aspect was confirmed. The patient was treated with Foscarnet, steroid, Rituximab, Tocilizumab, intravenous immunoglobulin (IVIG), and Paclitaxel, reducing viral load and improving cell count. This case highlights the complexities of managing Kaposi sarcoma within the realm of immune complex syndrome.

conclusionsOur case report underscores the critical need for heightened awareness and recognition of KICS, given its rarity and unique clinical characteristics. By elucidating the complex interrelationships between Kaposi sarcoma, inflammatory cytokines, and immune dysregulation, we aim to contribute to the existing knowledge base and facilitate improved diagnosis, management, and therapeutic interventions for this challenging syndrome. Further research is warranted to explore novel treatment modalities and unravel the underlying mechanisms driving KICS.

Indexed as

Cytokine Release SyndromeHerpesvirus 8, HumanHIV InfectionsSarcoma, KaposiHumansMaleMiddle AgedHuman herpesvirus 8 (HHV-8)Human immunodeficiency virus (HIV)Kaposi sarcoma herpesvirus- inflammatory cytokine syndrome (KICS)Kaposi sarcoma herpesvirus (KSHV)

Identifiers

PMID40259210
PMCPMC12013075

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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.