Evidence map›Paper›PMID 28329402›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Novel Orthopoxvirus Infection in an Alaska Resident.

Yuri P Springer, Christopher H Hsu, Zachary R Werle, Link E Olson, Michael P Cooper, Louisa J Castrodale, Nisha Fowler, Andrea M McCollum, Cynthia S Goldsmith, Ginny L Emerson and 11 more

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

43 citing papers in PubMed, 78 citations in OpenAlex.

  1. Article
  2. Article
  3. Six Cases of Borealpox and Evidence of a Zoonotic Source: Alaska, 2020-2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  4. Article
  5. Review
  6. Fatal Borealpox in an Immunosuppressed Patient Treated With Antivirals and Vaccinia Immunoglobulin-Alaska, 2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  7. Article
  8. Poxvirus Epidemiology.Methods in molecular biology (Clifton, N.J.) · 2025
    Review
  9. Viral genomic features predictbioRxiv : the preprint server for biology · 2024
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Monkeypox Virus Infections in Humans.Clinical microbiology reviews · 2022
    Review
  18. Article
  19. Comparative Pathology of Zoonotic Orthopoxviruses.Pathogens (Basel, Switzerland) · 2022
    Review
  20. Article
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

21 authors at 5 institutions in 1 country.

Yuri P SpringerAlaska Division of Public Health, Section of Epidemiology, Anchorage.
Christopher H HsuEpidemic Intelligence Service, Division of Scientific Education and Professional Development.
Zachary R WerleTanana Valley Clinic.
Link E OlsonUniversity of Alaska Museum, and.
Michael P CooperAlaska Division of Public Health, Section of Epidemiology, Anchorage.
Louisa J CastrodaleAlaska Division of Public Health, Section of Epidemiology, Anchorage.
Nisha FowlerAlaska Division of Public Health, Section of Laboratories, Fairbanks.
Andrea M McCollumPoxvirus and Rabies Branch, and.
Cynthia S GoldsmithInfectious Diseases Pathology Branch, Centers for Disease Control and Prevention, Atlanta, Georgia.
Ginny L EmersonPoxvirus and Rabies Branch, and.
Kimberly WilkinsPoxvirus and Rabies Branch, and.
Jeffrey B DotyPoxvirus and Rabies Branch, and.
Jillybeth BurgadoPoxvirus and Rabies Branch, and.
JinXin GaoPoxvirus and Rabies Branch, and.
Nishi PatelPoxvirus and Rabies Branch, and.
Matthew R MauldinPoxvirus and Rabies Branch, and.
Mary G ReynoldsPoxvirus and Rabies Branch, and.
Panayampalli S SatheshkumarPoxvirus and Rabies Branch, and.
Whitni DavidsonPoxvirus and Rabies Branch, and.
Yu LiPoxvirus and Rabies Branch, and.
Joseph B McLaughlinAlaska Division of Public Health, Section of Epidemiology, Anchorage.
Alaska Department of Health and Social Services · USCenters for Disease Control and Prevention · USEpidemic Intelligence Service · USOak Ridge Institute for Science and EducationUniversity of Alaska Fairbanks · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND.: Human infection by orthopoxviruses is being reported with increasing frequency, attributed in part to the cessation of smallpox vaccination and concomitant waning of population-level immunity. In July 2015, a female resident of interior Alaska presented to an urgent care clinic with a dermal lesion consistent with poxvirus infection. Laboratory testing of a virus isolated from the lesion confirmed infection by an Orthopoxvirus. METHODS.: The virus isolate was characterized by using electron microscopy and nucleic acid sequencing. An epidemiologic investigation that included patient interviews, contact tracing, and serum testing, as well as environmental and small-mammal sampling, was conducted to identify the infection source and possible additional cases. RESULTS.: Neither signs of active infection nor evidence of recent prior infection were observed in any of the 4 patient contacts identified. The patient's infection source was not definitively identified. Potential routes of exposure included imported fomites from Azerbaijan via the patient's cohabiting partner or wild small mammals in or around the patient's residence. Phylogenetic analyses demonstrated that the virus represents a distinct and previously undescribed genetic lineage of Orthopoxvirus, which is most closely related to the Old World orthopoxviruses. CONCLUSIONS.: Investigation findings point to infection of the patient after exposure in or near Fairbanks. This conclusion raises questions about the geographic origins (Old World vs North American) of the genus Orthopoxvirus. Clinicians should remain vigilant for signs of poxvirus infection and alert public health officials when cases are suspected.

Indexed as

AlaskaAnimalsAntibodies, ViralDNA, ViralFemaleFomitesHumansMammalsMicroscopy, ElectronMiddle AgedOrthopoxvirusPhylogenyPoxviridae InfectionsSequence Analysis, DNASkinAntibodies, ViralDNA, ViralAlaskalesionNorth AmericaOrthopoxvirusphylogenetics.

Identifiers

PMID28329402
PMCPMC5447873
OpenAlexW2612412797

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.