Evidence map›Paper›PMID 9738027›Full record

ArticleJournal of clinical microbiology1998

Human exposure to a granulocytic Ehrlichia and other tick-borne agents in Connecticut.

L A Magnarelli, J W Ijdo, J F Anderson, S J Padula, R A Flavell, E Fikrig

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical microbiology, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Global meta-analysis onPathogens and global health · 2022
    Pooled it
  2. Global prevalence ofNew microbes and new infections · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Assessment of polymicrobial infections in ticks in New York state.Vector borne and zoonotic diseases (Larchmont, N.Y.) · 2010
    Article
  7. Multiply infected vectors.Applied and environmental microbiology · 2007
    Article
  8. Coinfections acquired from ixodes ticks.Clinical microbiology reviews · 2006
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
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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

6 authors at 4 institutions in 1 country.

L A MagnarelliDepartment of Entomology, The Connecticut Agricultural Experiment Station, New Haven, Connecticut 06504, USA. louis.magnarelli@po.state.ct.us
J W Ijdo
J F Anderson
S J Padula
R A Flavell
E Fikrig
Center for Rheumatology · USConnecticut Agricultural Experiment Station · USUConn Health · USYale University · US

Funding

NHLBI NIH HHS HR8/CCH113382-01PHS HHS CCU-106581PHS HHS CCU 111188-02
6 · The paper itself

Abstract

Indirect fluorescent-antibody (IFA) staining methods with Ehrlichia equi (MRK or BDS strains) and Western blot analyses containing a human granulocytic ehrlichiosis (HGE) agent (NCH-1 strain) were used to confirm probable human cases of infection in Connecticut during 1995 and 1996. Also included were other tests for Ehrlichia chaffeensis, the agent of human monocytic ehrlichiosis (HME), Babesia microti, and Borrelia burgdorferi. Thirty-three (8.8%) of 375 patients who had fever accompanied by marked leukopenia or thrombocytopenia were serologically confirmed as having HGE. Western blot analyses of a subset of positive sera confirmed the results of the IFA staining methods for 15 (78.9%) of 19 seropositive specimens obtained from different persons. There was frequent detection of antibodies to a 44-kDa protein of the HGE agent. Serologic testing also revealed possible cases of Lyme borreliosis (n = 142), babesiosis (n = 41), and HME (n = 21). Forty-seven (26.1%) of 180 patients had antibodies to two or more tick-borne agents. Therefore, when one of these diseases is clinically suspected or diagnosed, clinicians should consider the possibility of other current or past tick-borne infections.

Indexed as

AnimalsAntibodies, BacterialAntigens, BacterialBabesiaBabesiosisBorrelia burgdorferi GroupConnecticutEhrlichiaEhrlichia chaffeensisEhrlichiosisFeverFluorescent Antibody Technique, IndirectHumansImmunoglobulin GImmunoglobulin MLyme DiseaseAntibodies, BacterialAntigens, BacterialImmunoglobulin GImmunoglobulin M

Identifiers

PMID9738027
PMCPMC105071
OpenAlexW2149657037

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.