Evidence map›Paper›PMID 25988437›Full record

ArticleVector borne and zoonotic diseases (Larchmont, N.Y.)2015

Underrecognized arthropod-borne and zoonotic pathogens in northern and northwestern Thailand: serological evidence and opportunities for awareness.

Stuart D Blacksell, Pacharee Kantipong, Wanitda Watthanaworawit, Claudia Turner, Ampai Tanganuchitcharnchai, Sutathip Jintawon, Achara Laongnuanutit, François H Nosten, Nicholas P J Day, Daniel H Paris and 1 more

Abstract read
In one paragraph

Article in Vector borne and zoonotic diseases (Larchmont, N.Y.), 2015. 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
–field-weighted citation impact
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.

  1. Observational
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Acute Q Fever Case Detection among Acute Febrile Illness Patients, Thailand, 2002-2005.The American journal of tropical medicine and hygiene · 2018
    Article
  7. Article
  8. Article
  9. Coxiella Detection in Ticks from Wildlife and Livestock in Malaysia.Vector borne and zoonotic diseases (Larchmont, N.Y.) · 2016
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

11 authors.

Stuart D Blacksell1Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Pacharee Kantipong3Chiangrai Prachanukhru Hospital, Chiangrai, Thailand.
Wanitda Watthanaworawit1Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Claudia Turner4Shoklo Malaria Research Unit (SMRU), Tak, Thailand.
Ampai Tanganuchitcharnchai1Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Sutathip Jintawon1Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Achara Laongnuanutit3Chiangrai Prachanukhru Hospital, Chiangrai, Thailand.
François H Nosten1Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Nicholas P J Day1Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Daniel H Paris1Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Allen L Richards5Viral and Rickettsial Diseases Department, Naval Medical Research Center, Silver Spring, Maryland.

Funding

Wellcome Trust
6 · The paper itself

Abstract

Although scrub typhus and murine typhus are well-described tropical rickettsial illnesses, especially in Southeast Asia, only limited evidence is available for rickettsia-like pathogens contributing to the burden of undifferentiated febrile illness. Using commercially available kits, this study measured immunoglobulin G (IgG) antibody seroprevalence for Coxiella burnetii, Ehrlichia chaffeensis, Bartonella henselae, Anaplasma phagocytophilum, and spotted fever group rickettsiae (SFGR) in 375 patients enrolled in undifferentiated febrile illness studies at Chiangrai (northern Thailand) and Mae Sot (Thai-Myanmar border). Ehrlichia and SFGR were the most common causes of IgG seropositivity. A distinct relationship between age and seropositivity was found in Chiangrai with acquisition of IgG titers against Ehrlichia, Bartonella, Anaplasma, and SFGR in young adulthood, suggesting cumulative exposure to these pathogens. At Mae Sot, high early IgG titers against Ehrlichia and SFGR were common, whereas Anaplasma and Bartonella IgG titers increased at 50-60 years. Q fever associated with low IgG positivity at both study sites, with significantly higher prevalence at 30 years of age in Chiangrai. These data suggest that other rickettsial illnesses could contribute to the burden of febrile illness in Thailand and possibly adjacent regions. Improved diagnostics and better understanding of antibody longevity and cross-reactivity will improve identification and management of these easily treatable infectious diseases.

Indexed as

AdolescentAdultAgedAnaplasma phagocytophilumAnimalsAntibodies, BacterialArthropod VectorsBartonella henselaeChildChild, PreschoolCohort StudiesCoxiella burnetiiEhrlichia chaffeensisGram-Negative Bacterial InfectionsHumansImmunoglobulin GAntibodies, BacterialImmunoglobulin GAnaplasmaArthropod-borneBartonellaCoxiellaEhrlichiaOrientiaRickettsiaSeroprevalenceSpotted fever group rickettsiaeZoonotic pathogens

Identifiers

PMID25988437
PMCPMC4449621

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.