Evidence map›Paper›PMID 24380581›Full record

ArticleParasites & vectors2013

Multispacer typing of Rickettsia isolates from humans and ticks in Tunisia revealing new genotypes.

Abir Znazen, Fatma Khrouf, Nihel Elleuch, Dorra Lahiani, Chakib Marrekchi, Youmna M'Ghirbi, Mounir Ben Jemaa, Ali Bouattour, Adnene Hammami

Open access · goldAbstract read
In one paragraph

Article in Parasites & vectors, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. First Evidence ofVeterinary sciences · 2024
    Article
  3. Review
  4. Article
  5. Distribution and Prevalence ofMicroorganisms · 2023
    Review
  6. Pathogens (Basel, Switzerland) · 2021
    Article
  7. ZoonoticFrontiers in veterinary science · 2021
    Article
  8. Tick Fauna and AssociatedMicroorganisms · 2020
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Detection of Rickettsia rickettsii, Rickettsia parkeri, and Rickettsia akari in skin biopsy specimens using a multiplex real-time polymerase chain reaction assay.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2014
    Article
  14. Current tropical medicine reports
    Review
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

9 authors at 3 institutions in 1 country.

Abir ZnazenLaboratory of Microbiology, Research Laboratory "MPH", Habib Bourguiba University Hospital of Sfax, Sfax, Tunisia. abirznazen2001@yahoo.fr.
Fatma Khrouf
Nihel Elleuch
Dorra Lahiani
Chakib Marrekchi
Youmna M'Ghirbi
Mounir Ben Jemaa
Ali Bouattour
Adnene Hammami
Hopital Universitaire Habib Bourguiba · TNHopital Universitaire Hedi Chaker · TNInstitut Pasteur de Tunis · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRickettsioses are important remerging vector born infections. In Tunisia, many species have been described in humans and vectors. Genotyping is important for tracking pathogen movement between hosts and vectors. In this study, we characterized Rickettsia species detected in patients and vectors using multispacer typing (MST), proposed by Founier et al. and based on three intergenic spacers (dksA-xerC, rmpE- tRNA(fMet), mppA-pruC) sequencing.

methodsOur study included 25 patients hospitalized during 2009. Ticks and fleas were collected in the vicinity of confirmed cases. Serology was performed on serum samples by microimmunofluorescence using Rickettsia conorii and Rickettsia typhi antigens. To detect and identify Rickettsia species, PCR targeting ompA, ompB and gltA genes followed by sequencing was performed on 18 obtained skin biopsies and on all collected vectors. Rickettsia positive samples were further characterized using primers targeting three intergenic spacers (dksA-xerC, rmpE- tRNA(fMet) and mppA-purC).

resultsA rickettsial infection was confirmed in 15 cases (60%). Serology was positive in 13 cases (52%). PCR detected Rickettsia DNA in four biopsies (16%) allowing the identification of R. conorii subsp israelensis in three cases and R. conorii subsp conorii in one case. Among 380 collected ticks, nine presented positive PCR (2.4%) allowing the identification of six R. conorii subsp israelensis, two R. massiliae and one R. conorii subsp conorii. Among 322 collected fleas, only one was positive for R. felis. R. conorii subsp israelensis strains detected in humans and vectors clustered together and showed a new MST genotype. Similarly, R. conorii subsp conorii strains detected in a skin biopsy and a tick were genetically related and presented a new MST genotype.

conclusionsNew Rickettsia spotted fever strain genotypes were found in Tunisia. Isolates detected in humans and vectors were genetically homogenous despite location differences in their original isolation suggesting epidemiologic circulation of these strains.

Indexed as

AnimalsBacterial Typing TechniquesGenotypeHumansRickettsiaRickettsia InfectionsSiphonapteraSpecies SpecificityTicksTunisia

Identifiers

PMID24380581
PMCPMC3883474
OpenAlexW2123362812

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LicenceCC BY
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Registered trials

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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.