Evidence map›Paper›PMID 27031729›Full record

ArticlePLoS neglected tropical diseases2016

"Candidatus Borrelia kalaharica" Detected from a Febrile Traveller Returning to Germany from Vacation in Southern Africa.

Volker Fingerle, Michael Pritsch, Martin Wächtler, Gabriele Margos, Sabine Ruske, Jette Jung, Thomas Löscher, Clemens Wendtner, Andreas Wieser

Open access · goldAbstract readCase Reports
In one paragraph

Article in PLoS neglected tropical diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Prevalence of Lyme Disease and Relapsing FeverPathogens (Basel, Switzerland) · 2024
    Review
  5. Review
  6. Article
  7. Article
  8. Molecular evidence ofFrontiers in veterinary science · 2023
    Article
  9. Biology · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Update on Tick-Borne Bacterial Diseases in Travelers.Current infectious disease reports · 2018
    Review
  18. Relapsing Fevers: Neglected Tick-Borne Diseases.Frontiers in cellular and infection microbiology · 2018
    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 4 institutions in 2 countries.

Volker FingerleNational Reference Centre for Borrelia, Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL), Dienststelle Oberschleißheim, Germany.
Michael PritschDivision of Infectious Diseases and Tropical Medicine, Medical Center of the LMU, Munich, Germany.
Martin WächtlerDepartment of Haematology, Oncology, Immunology, Palliative Care, Infectious Diseases and Tropical Medicine, Klinikum Schwabing, Akademisches Lehrkrankenhaus der Ludwig-Maximilians-Universität und Technischen Universität, Munich, Germany.
Gabriele MargosNational Reference Centre for Borrelia, Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit (LGL), Dienststelle Oberschleißheim, Germany.
Sabine RuskeDivision of Infectious Diseases and Tropical Medicine, Medical Center of the LMU, Munich, Germany.
Jette JungDepartment of Bacteriology, Max von Pettenkofer-Institute LMU Munich, Germany.
Thomas LöscherDivision of Infectious Diseases and Tropical Medicine, Medical Center of the LMU, Munich, Germany.
Clemens WendtnerDepartment of Haematology, Oncology, Immunology, Palliative Care, Infectious Diseases and Tropical Medicine, Klinikum Schwabing, Akademisches Lehrkrankenhaus der Ludwig-Maximilians-Universität und Technischen Universität, Munich, Germany.
Andreas WieserDivision of Infectious Diseases and Tropical Medicine, Medical Center of the LMU, Munich, Germany.
Ludwig-Maximilians-Universität München · DEBayerisches Landesamt für Gesundheit und Lebensmittelsicherheit · DEJimma University · ETMünchen Klinik Schwabing · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 26 year-old female patient presented to the Tropical Medicine outpatient unit of the Ludwig Maximilians-University in Munich with febrile illness after returning from Southern Africa, where she contracted a bite by a large mite-like arthropod, most likely a soft-tick. Spirochetes were detected in Giemsa stained blood smears and treatment was started with doxycycline for suspected tick-borne relapsing fever. The patient eventually recovered after developing a slight Jarisch-Herxheimer reaction during therapy. PCR reactions performed from EDTA-blood revealed a 16S rRNA sequence with 99.4% similarity to both, Borrelia duttonii, and B. parkeri. Further sequences obtained from the flagellin gene (flaB) demonstrated genetic distances of 0.066 and 0.097 to B. parkeri and B. duttonii, respectively. Fragments of the uvrA gene revealed genetic distance of 0.086 to B. hermsii in genetic analysis and only distant relations with classic Old World relapsing fever species. This revealed the presence of a novel species of tick-borne relapsing fever spirochetes that we propose to name "Candidatus Borrelia kalaharica", as it was contracted from an arthropod bite in the Kalahari Desert belonging to both, Botswana and Namibia, a region where to our knowledge no relapsing fever has been described so far. Interestingly, the novel species shows more homology to New World relapsing fever Borrelia such as B. parkeri or B. hermsii than to known Old World species such as B. duttonii or B. crocidurae.

Indexed as

AdultAfrica, SouthernBorreliaFemaleGermanyHumansPhylogenyRelapsing FeverRNA, BacterialRNA, Ribosomal, 16STravelRNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID27031729
PMCPMC4816561
OpenAlexW2333917909

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.