Evidence map›Paper›PMID 40697492›Full record

ArticleJournal of Brown hospital medicine2025

Powassan Virus-Related Encephalitis in the Off-Season: A Case Report.

Moe Uddin, Cheston Cunha, Calli Dogon

Abstract readCase Reports
In one paragraph

Article in Journal of Brown hospital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

3 authors.

Moe UddinDepartment of Infectious Diseases Brown University.ORCID https://orcid.org/0009-0002-3659-4886
Cheston CunhaDepartment of Infectious Diseases Brown University.
Calli DogonDepartment of Infectious Diseases Brown University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Arboviral infections, increasingly identified due to the effects of climate change, pose significant health risks. We present a case of meningoencephalitis due to Powassan (tick-borne Flavivirus) virus in a middle-aged man from Rhode Island, unexpectedly diagnosed in the winter season. Confirmatory plaque reduction neutralization testing (Centers for Disease Control) revealed elevated titers for Powassan virus >1:20,480. The cerebrospinal fluid analysis demonstrated lymphocytic pleocytosis. The case highlights the expanding seasonal and geographic range of arboviruses, necessitating year-round vigilance. No targeted therapies exist; management remains supportive as 40-60% of patients develop chronic sequelae, including persistent confusion, fatigue, and headache. Arboviral etiologies in patients with altered mentation must be prioritized on the differential, even outside of peak transmission seasons.

Indexed as

ArbovirusencephalitismeningitisPowassan virusticke-borne illness

Identifiers

PMID40697492
PMCPMC12282528

What OpenQuestion holds

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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.