Evidence map›Paper›PMID 28076469›Full record

ArticleMemorias do Instituto Oswaldo Cruz2017

Scoring clinical signs can help diagnose canine visceral leishmaniasis in a highly endemic area in Brazil.

Kleverton Ribeiro da Silva, Vitor Rosa Ramos de Mendonça, Kellen Matuzzy Silva, Leopoldo Fabrício Marçal do Nascimento, Antonio Ferreira Mendes-Sousa, Flaviane Alves de Pinho, Manoel Barral-Netto, Aldina Maria Prado Barral, Maria do Socorro Pires E Cruz

Open access · diamondAbstract read
In one paragraph

Article in Memorias do Instituto Oswaldo Cruz, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
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  4. Emergence of autochthonousFrontiers in veterinary science · 2025
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  5. Candidate antigens for serological testing (ELISA) and diagnosis of canine visceral leishmaniasis.Revista brasileira de parasitologia veterinaria = Brazilian journal of veterinary parasitology : Orgao Oficial do Colegio Brasileiro de Parasitologia Veterinaria · 2025
    Article
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  13. A Nutritional Supplement (DìLshAnimals : an open access journal from MDPI · 2020
    Article
  14. Article
  15. Improving the serodiagnosis of canineParasite epidemiology and control · 2020
    Article
  16. Clinical and Immunological Response in Dogs Naturally Infected byAnimals : an open access journal from MDPI · 2019
    Article
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.

Kleverton Ribeiro da SilvaFundação Oswaldo Cruz-Fiocruz, Centro de Pesquisas Gonçalo Moniz, Salvador, BA, Brasil.
Vitor Rosa Ramos de MendonçaFundação Oswaldo Cruz-Fiocruz, Centro de Pesquisas Gonçalo Moniz, Salvador, BA, Brasil.
Kellen Matuzzy SilvaUniversidade Federal do Piauí, Departamento de Morfofisiologia Veterinária, Teresina, PI, Brasil.
Leopoldo Fabrício Marçal do NascimentoUniversidade Federal do Piauí, Departamento de Morfofisiologia Veterinária, Teresina, PI, Brasil.
Antonio Ferreira Mendes-SousaUniversidade Federal do Piauí, Picos, PI, Brasil.
Flaviane Alves de PinhoUniversidade Federal do Piauí, Departamento de Morfofisiologia Veterinária, Teresina, PI, Brasil.
Manoel Barral-NettoFundação Oswaldo Cruz-Fiocruz, Centro de Pesquisas Gonçalo Moniz, Salvador, BA, Brasil.
Aldina Maria Prado BarralFundação Oswaldo Cruz-Fiocruz, Centro de Pesquisas Gonçalo Moniz, Salvador, BA, Brasil.
Maria do Socorro Pires E CruzUniversidade Federal do Piauí, Departamento de Morfofisiologia Veterinária, Teresina, PI, Brasil.
Universidade Federal do Piauí · BRUniversidade Federal da Bahia · BRFundação Oswaldo Cruz · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Canine visceral leishmaniasis (CVL) diagnosis is still a challenge in endemic areas with limited diagnostic resources. This study proposes a score with the potential to distinguish positive CVL cases from negative ones. We studied 265 dogs that tested positive for CVL on ELISA and parasitological tests. A score ranging between 0 and 19 was recorded on the basis of clinical signs. Dogs with CVL had an overall higher positivity of the majority of clinical signs than did dogs without CVL or with ehrlichiosis. Clinical signs such as enlarged lymph nodes (83.93%), muzzle/ear lesions (55.36%), nutritional status (51.79%), bristle condition (57.14%), pale mucosal colour (48.21%), onychogryphosis (58.93%), skin lesion (39.28%), bleeding (12.50%), muzzle depigmentation (41.07%), alopecia (39.29%), blepharitis (21.43%), and keratoconjunctivitis (42.86%) were more frequent in dogs with CVL than in dogs with ehrlichiosis or without CVL. Moreover, the clinical score increased according to the positivity of all diagnostic tests (ELISA, p < 0.001; parasite culture, p = 0.0021; and smear, p = 0.0003). Onychogryphosis (long nails) [odds ratio (OR): 3.529; 95% confidence interval (CI): 1.832-6.796; p < 0.001], muzzle depigmentation (OR: 4.651; 95% CI: 2.218-9.750; p < 0.001), and keratoconjunctivitis (OR: 5.400; 95% CI: 2.549-11.441; p < 0.001) were highly associated with CVL. Interestingly, a score cut-off value ≥ 6 had an area under the curve of 0.717 (p < 0.0001), sensitivity of 60.71%, and specificity of 73.64% for CVL diagnosis. The clinical sign-based score for CVL diagnosis suggested herein can help veterinarians reliably identify dogs with CVL in endemic areas with limited diagnostic resources.

Indexed as

AnimalsAntibodies, ProtozoanBrazilDog DiseasesDogsEnzyme-Linked Immunosorbent AssayFemaleLeishmania infantumLeishmaniasis, VisceralMaleSensitivity and SpecificityAntibodies, Protozoan

Identifiers

PMID28076469
PMCPMC5225530
OpenAlexW2570149382

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.