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The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Virus-Induced Diabetes Mellitus: Isolation of a Virus from the Pancreas of a Child with Diabetic Ketoacidosis

Yoon, Ji-Won, Austin, Marshall, Onodera, Takashi, Notkins, Abner Louis·1979·New England Journal of Medicine

Abstract

A healthy 10-year-old boy was admitted to the hospital in diabetic ketoacidosis within three days of onset of symptoms of a flu-like illness. He died seven days later and post-mortem examination showed lymphocytic infiltration of the islets of Langerhans and necrosis of beta cells. Inoculation of mouse, monkey and human cell cultures with homogenates from the patient's pancreas led to isolation of a virus. Serologic studies revealed a rise in the titer of neutralizing antibody to this virus from less than 4 on the second hospital day to 32 on the day of death. Neutralization data showed that the virus was related to a diabetogenic variant derived from Coxsackievirus B4. Inoculation of mice with the human isolate produced hyperglycemia, inflammatory cells in the islets of Langerhans and beta-cell necrosis. Staining of mouse pancreatic sections with fluorescein-labeled antiviral antibody revealed viral antigens in beta cells. Both the clinical picture and animal studies suggested that the patient's diabetes was virus induced.

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Research works printed but not linked: 29

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Metadata

Authors
Yoon, J.-W., Austin, M., Onodera, T., & Notkins, A. L.
Venue
New England Journal of Medicine
Published
1979-05-24
Volume
300
Issue
21
Pages
1173-1179
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2088350742
Cited by
1,015
References
1
FWCI
29.38
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Virus-Induced Diabetes Mellitus: Isolation of a Virus from the Pancreas of a Child with Diabetic Ketoacidosis. https://app.cochat.ai/papers/10.1056/nejm197905243002102
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Yoon, J.-W., Austin, M., Onodera, T., & Notkins, A. L. (1979). Virus-Induced Diabetes Mellitus: Isolation of a Virus from the Pancreas of a Child with Diabetic Ketoacidosis. New England Journal of Medicine. https://doi.org/10.1056/nejm197905243002102

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