The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Multicenter prospective surveillance study of viral agents causing meningoencephalitis
Open accessAbstract
The frequency of bacterial factors causing central nervous system infections has decreased as a result of the development of our national immunization program. In this study, it is aimed to obtain the data of our local surveillance by defining the viral etiology in cases diagnosed with meningoencephalitis for 1 year. Previously healhty 186 children, who applied with findings suggesting viral meningoencephalitis to 8 different tertiary health centers between August 2018 and August 2019, in Istanbul, were included. The cerebrospinal fluid (CSF) sample was evaluated by polymerase chain reaction. The M:F ratio was 1.24 in the patient group, whose age ranged from 1 to 216 months (mean 40.2 ± 48.7). Viral factor was detected in 26.8%. Enterovirus was the most common agent (24%) and followed by Adenovirus (22%) and HHV type 6 (22%). In the rest of the samples revealed HHV type 7 (10%), EBV (6%), CMV (6%), HSV type 1 (6%), Parvovirus (4%) and VZV (2%). The most common symptoms were fever (79%) and convulsions (45.7%). Antibiotherapy and antiviral therapy was started 48.6% and 4% respectively. Mortality and sequela rate resulted 0.53% and 3.7%, respectively. This highlights the importance of monitoring trends in encephalitis in Turkey with aview to improving pathogen diagnosis for encephalitis and rapidly identifying novel emerging encephalitis-causing pathogens that demand public health action especially in national immunisation programme.
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“Although HSV-1 is encountered less frequently, it is the most common cause of sporadic necrotizing encephalitis17.”
From Clinical Impact of Cerebrospinal Fluid Multiplex Polymerase Chain Reaction (PCR) Testing in Children with Suspected Central Nervous System Infection (2025) · cites this paper as [17]
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Venkatesan, A., Tunkel, A. R., Bloch, K. C., Lauring, A. S., Sejvar, J. J., Bitnun, A., Stahl, J. ‐., Mailles, A., DREBOT, M. A., Rupprecht, C. E., et al. (2013) · Clinical Infectious Diseases · doi:10.1093/cid/cit458 · Cited by 1,247
Enterovirus Surveillance - United States, 1970-2005: (540562006-001)
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Burden of encephalitis-associated hospitalizations in the United States, 1988-1997
Khetsuriani, N., Holman, R. C., & Anderson, L. J. (2002) · Clinical Infectious Diseases · doi:10.1086/341301 · Cited by 200
Viral Encephalitis in England, 1989–1998: What Did We Miss?
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Epidemiology of encephalitis in children. A prospective multicentre study
Koskiniemi, M., Korppi, M. O., Mustonen, K., Rantala, H., Muttilainen, M., Herrgård, E. A., Ukkonen, P., & Vaheri, A. (1997) · European Journal of Pediatrics · doi:10.1007/s004310050658 · Cited by 144
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Fowler, Å., Stödberg, T., Eriksson, M., et al. (2008) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2007.12.009 · Cited by 102
Central Nervous System Complications of Varicella-Zoster Virus
Science, M. E., MacGregor, D., Richardson, S. E., et al. (2014) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2014.06.014 · Cited by 91
Diagnostic assays for active infection with human herpesvirus 6 (HHV-6)
Caserta, M. T., Hall, C. B., Schnabel, K. C., Lofthus, G. K., Marino, A. S., Shelley, L. M., Yoo, C., Carnahan, J. A., Anderson, L. T., & Wang, H. (2010) · Journal of Clinical Virology · doi:10.1016/j.jcv.2010.02.007 · Cited by 89
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Aetiology of acute meningoencephalitis in Cambodian children, 2010–2013
Horwood, P. F., Duong, V., Laurent, D., Mey, C., Heng, S., Santy, K., Richner, B., Heng, S., Hem, S., Cheval, J., et al. (2017) · Emerging Microbes & Infections · doi:10.1038/emi.2017.15 · Cited by 50
Research works printed but not linked: 1
- Khetsuriani, N. et al. Enterovirus surveillance–United States, 1970–2005. MMWR Surveill. Summ. 55, 1 (2006).
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Sorted by citations
GOKTUG, A., AK GUNDOGDU, I., DUYU, M., & BESLI, E. (2025) · Medeniyet Medical Journal · doi:10.4274/mmj.galenos.2025.43895 · Cited by 4
“%) to be the most common, 13,18 ; HSV-1 positivity in the latter study was 5.9%.”
InfluentialMERDAN, O., SAĞLIK, İ., AKSOY, F. D., ÖNAL, U., ÖZAKIN, C., HACIMUSTAFAOĞLU, M. K., ÇELEBİ, S., AĞCA, H., TEKİNSOY, M., & ENER, B. (2024) · Mikrobiyoloji Bulteni · doi:10.5578/mb.202497189 · Cited by 2
Metadata
- Authors
- Törün, S. H., Kaba, Ö., Yakut, N., Kadayıfçı, E. K., Kara, M., Yanartaş, M. S., Somer, A., Duramaz, B. B., Türel, Ö., Dalgıç, N., Alp, E. E., Salı, E., Çakır, D., Önal, P., Çokuğraş, H., Aygün, F. D., Karbuz, A., Önel, M., Meşe, S., & Ağaçfidan, A.
- Affiliations
- Istanbul University (TR)
- Marmara University (TR)
- Bezmiâlem Vakıf Üniversitesi (TR)
- Sağlık Bilimleri Üniversitesi (TR)
- Ümraniye Eğitim ve Araştırma Hastanesi (TR)
- Istanbul University-Cerrahpaşa (TR)
- ORCID
- Venue
- Scientific Reports
- Published
- 2021-03-30
- Volume
- 11
- Issue
- 1
- Pages
- 7216-7216
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC8010096
- OpenAlex
- W3145486091
- Cited by
- 15
- References
- 17
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 3 · 2022: 2
- FWCI
- 0.87
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Dspace Repository (Marmara Üniversitesi) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- This study was supported by the Turkish Pediatric Institution within the framework of the "Initial R
- Topics
- Health Sciences › Medicine › Infectious Diseases › Infectious Encephalopathies and Encephalitis
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Immunology Research
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Keywords
- viral meningoencephalitis, viral etiology, enterovirus, adenovirus, human herpesvirus 6, human herpesvirus 7, herpes simplex virus type 1, cytomegalovirus, varicella-zoster virus, parvovirus, cerebrospinal fluid PCR, pediatric encephalitis, immunization programs, Istanbul
- MeSH terms
- Adolescent, Antiviral Agents, Child, Child, Preschool, Enterovirus Infections, Enterovirus, Female, Humans, Infant, Infant, Newborn, Male, Meningoencephalitis, Prospective Studies, Virus Diseases, Viruses
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- Törün, S. H., Kaba, Ö., Yakut, N., Kadayıfçı, E. K., Kara, M., Yanartaş, M. S., Somer, A., Duramaz, B. B., Türel, Ö., Dalgıç, N., Alp, E. E., Salı, E., Çakır, D., Önal, P., Çokuğraş, H., Aygün, F. D., Karbuz, A., Önel, M., Meşe, S., & Ağaçfidan, A. (2021). Multicenter prospective surveillance study of viral agents causing meningoencephalitis. Scientific Reports. https://doi.org/10.1038/s41598-021-86687-0