Evidence map›Paper›PMID 12780997›Full record

ArticleEmerging infectious diseases2003

Histopathologic features of Mycobacterium ulcerans infection.

Jeannette Guarner, Jeanine Bartlett, Ellen A Spotts Whitney, Pratima L Raghunathan, Ymkje Stienstra, Kwame Asamoa, Samuel Etuaful, Erasmus Klutse, Eric Quarshie, Tjip S van der Werf and 3 more

Open access · diamondAbstract readCase ReportsComparative Study
In one paragraph

Article in Emerging infectious diseases, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

67 citing papers in PubMed, 163 citations in OpenAlex.

  1. Trial
  2. Buruli ulcer.Nature reviews. Disease primers · 2025
    Review
  3. Life (Basel, Switzerland) · 2025
    Review
  4. Article
  5. Article
  6. Systematic review: Global host range, case fatality and detection rates ofJournal of clinical tuberculosis and other mycobacterial diseases · 2024
    Review
  7. Article
  8. Pilot use of a mycolactone-specific lateral flow assay for Buruli ulcer: A case report from Japan.Journal of clinical tuberculosis and other mycobacterial diseases · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Current genomics · 2021
    Article
  17. Article
  18. Pharmacologic management ofExpert review of clinical pharmacology · 2020
    Review
  19. Article
  20. Emerging infections: mimickers of common patterns seen in dermatopathology.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2020
    Review

7 more citing papers are in PubMed but not listed here.

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

13 authors at 8 institutions in 3 countries.

Jeannette GuarnerCenters for Disease Control and Prevention, Atlanta, Georgia 30333, USA. jguarner@cdc.gov
Jeanine Bartlett
Ellen A Spotts Whitney
Pratima L Raghunathan
Ymkje Stienstra
Kwame Asamoa
Samuel Etuaful
Erasmus Klutse
Eric Quarshie
Tjip S van der Werf
Winette T A van der Graaf
C Harold King
David A Ashford
Centers for Disease Control and Prevention · USUniversity Medical Center Groningen · NLCatholic University College of Ghana · GHEmory University · USMinistry of Health · GHPresbyterian University, Ghana · GHUniversity of Groningen · NLUniversity of Mines and Technology · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Because of the emergence of Buruli ulcer disease, the World Health Organization launched a Global Buruli Ulcer Initiative in 1998. This indolent skin infection is caused by Mycobacterium ulcerans. During a study of risk factors for the disease in Ghana, adequate excisional skin-biopsy specimens were obtained from 124 clinically suspicious lesions. Buruli ulcer disease was diagnosed in 78 lesions since acid-fast bacilli (AFB) were found by histopathologic examination. Lesions with other diagnoses included filariasis (3 cases), zygomycosis (2 cases), ulcerative squamous cell carcinomas (2 cases), keratin cyst (1 case), and lymph node (1 case). Thirty-seven specimens that did not show AFB were considered suspected Buruli ulcer disease cases. Necrosis of subcutaneous tissues and dermal collagen were found more frequently in AFB-positive specimens compared with specimens from suspected case-patients (p<0.001). Defining histologic criteria for a diagnosis of Buruli ulcer disease is of clinical and public health importance since it would allow earlier treatment, leading to less deforming sequelae.

Indexed as

Diagnosis, DifferentialDNA, BacterialHumansMycobacterium Infections, NontuberculousMycobacterium ulceransNecrosisPolymerase Chain ReactionSkinSkin Diseases, BacterialSkin UlcerStaining and LabelingDNA, Bacterial

Identifiers

PMID12780997
PMCPMC3000137
OpenAlexW2147031727

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.