Evidence map›Paper›PMID 41884829›Full record

ReviewFrontiers in immunology2026

Viral encephalitis related to adalimumab in a 16-year-old Crohn's disease patient: case report and literature review.

Zao Liang, Qiuping Yang, Guixian Pan, Ximei Yang, Bingqing Liu, Wenting Gan, Ruoshi Yang, Hu Hao, Sitao Li, Yao Cai

Abstract readCase ReportsReview
In one paragraph

Review in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Zao Liang *Department of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Qiuping Yang *Department of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Guixian Pan *Department of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Ximei YangDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Bingqing LiuDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Wenting GanDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Ruoshi YangDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Hu HaoDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Sitao LiDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Yao CaiDepartment of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor necrosis factor-alpha (TNF-α) inhibitors are extensively utilized in inflammatory bowel disease (IBD). Adalimumab (ADA), a TNF-α inhibitor, appears to be an effective and safe option for pediatric Crohn's disease (CD), but the potential risk of opportunistic infection and autoimmune disease is of particular concern. We present the first pediatric case of viral encephalitis (VE) in a 16-year-old boy with CD following treatment with ADA. A 16-year-old CD patient developed symptoms such as fever, dizziness, drowsiness, and blurred vision after three months of ADA treatment. Fundoscopic examination demonstrated pronounced edema of the optic disc in both eyes. The lumbar puncture revealed a marked elevation in intracranial pressure and pathogen analysis of the cerebrospinal fluid identified an HHV-7 infection using next generation sequencing. Following discontinuation of ADA and treatment with acyclovir, the child's symptoms largely subsided. Literature search identified 11 published CD adult patients with neurological complications related to ADA treatment, while 7 cases were diagnosed with autoimmune encephalitis and 4 with Guillain-Barré syndrome. This report presents the first pediatric CD patient with treatment of ADA, during which VE manifested. Although neurological adverse events associated with ADA are infrequent in pediatrics, vigilant monitoring for neurological symptoms, particularly for infections, remains critical.

Indexed as

AdalimumabAnti-Inflammatory AgentsCrohn DiseaseEncephalitis, ViralHerpesvirus 7, HumanAdolescentHumansMaleAdalimumabAnti-Inflammatory AgentsCrohn’s disease (CD)infectionneurological complicationpediatrictumor necrosis factor-alpha (TNF-α)

Identifiers

PMID41884829
PMCPMC13008712

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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.