Evidence map›Paper›PMID 40861229›Full record

ArticleFrontiers in medicine2025

Varicella-zoster virus infection in pregnancy: a case of aseptic meningitis before 20 weeks gestation and review of the literature.

Gao Song, Meng-Qun Cheng, Nan Yang, Rong Li, Cai-Qiong Zhang, Si-Wei Chen

Abstract readCase Reports
In one paragraph

Article in Frontiers in medicine, 2025. 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. 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

6 authors.

Gao Song *Department of Pharmacy, Puer People's Hospital, Pu'er, China.
Meng-Qun Cheng *Department of Reproductive Medicine, Puer People's Hospital, Pu'er, China.
Nan Yang *Department of Neurology, Puer People's Hospital, Pu'er, China.
Rong LiDepartment of Pharmacy, Puer People's Hospital, Pu'er, China.
Cai-Qiong ZhangDepartment of Pharmacy, Puer People's Hospital, Pu'er, China.
Si-Wei ChenDepartment of Neurology, Puer People's Hospital, Pu'er, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Varicella zoster virus (VZV) infection during pregnancy can lead to severe complications. However, cases complicated by aseptic meningitis in early pregnancy (<20 weeks) are extremely rare, and clinical management and pregnancy outcomes remain unclear. Case report: We report a case of a 36-year-old pregnant woman who developed right upper abdominal pain, headache, and cough at 17 weeks of gestation, followed by clustered herpes zoster lesions in the right lumbar region and signs of meningeal irritation. Aseptic meningitis was confirmed by cerebrospinal fluid analysis (lymphocytes 184 × 10 Conclusion: This represents the fourth reported case of VZV meningitis during pregnancy globally and the first occurring before 20 weeks of gestation with preterm delivery as a unique outcome. Key implications: (1) Early-to-mid gestation VZV infection may affect pregnancy outcomes through distinct mechanisms; (2) multidisciplinary management is critical for optimizing maternal-fetal prognosis; and (3) further investigation is needed to elucidate the relationship between infection timing and preterm birth.

Indexed as

antiviral therapyaseptic meningitismultidisciplinary managementpregnancypreterm deliveryvaricella-zoster virus

Identifiers

PMID40861229
PMCPMC12370731

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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.