Evidence map›Paper›PMID 28259176›Full record

ArticleParasites & vectors2017

Molecular and serological evidence of flea-associated typhus group and spotted fever group rickettsial infections in Madagascar.

Rado J L Rakotonanahary, Alan Harrison, Alice N Maina, Ju Jiang, Allen L Richards, Minoarisoa Rajerison, Sandra Telfer

Open access · goldAbstract read
In one paragraph

Article in Parasites & vectors, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Article
  5. Review
  6. Molecular detection and characterization ofInfection ecology & epidemiology · 2025
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  12. Seroprevalence and Risk Factors forThe American journal of tropical medicine and hygiene · 2019
    Article
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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

7 authors at 3 institutions in 3 countries.

Rado J L RakotonanaharyPlague Unit, Institut Pasteur de Madagascar, Antananarivo, Madagascar. radoupty@pasteur.mg.
Alan HarrisonInstitute of Biological and Environmental Sciences, University of Aberdeen, Aberdeen, UK.
Alice N MainaViral and Rickettsial Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Ju JiangViral and Rickettsial Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Allen L RichardsViral and Rickettsial Diseases Department, Naval Medical Research Center, Silver Spring, MD, USA.
Minoarisoa RajerisonPlague Unit, Institut Pasteur de Madagascar, Antananarivo, Madagascar.
Sandra TelferInstitute of Biological and Environmental Sciences, University of Aberdeen, Aberdeen, UK.
Naval Medical Research Command · USInstitut Pasteur de Madagascar · MGUniversity of Aberdeen · GB

Funding

Wellcome Trust 081705Wellcome Trust 095171
6 · The paper itself

Abstract

backgroundRickettsiae are obligate intracellular bacteria responsible for many febrile syndromes around the world, including in sub-Saharan Africa. Vectors of these pathogens include ticks, lice, mites and fleas. In order to assess exposure to flea-associated Rickettsia species in Madagascar, human and small mammal samples from an urban and a rural area, and their associated fleas were tested.

resultsAnti-typhus group (TGR)- and anti-spotted fever group rickettsiae (SFGR)-specific IgG were detected in 24 (39%) and 21 (34%) of 62 human serum samples, respectively, using indirect ELISAs, with six individuals seropositive for both. Only two (2%) Rattus rattus out of 86 small mammals presented antibodies against TGR. Out of 117 fleas collected from small mammals, Rickettsia typhi, a TGR, was detected in 26 Xenopsylla cheopis (24%) collected from rodents of an urban area (n = 107), while two of these urban X. cheopis (2%) were positive for Rickettsia felis, a SFGR. R. felis DNA was also detected in eight (31%) out of 26 Pulex irritans fleas.

conclusionsThe general population in Madagascar are exposed to rickettsiae, and two flea-associated Rickettsia pathogens, R. typhi and R. felis, are present near or in homes. Although our results are from a single district, they demonstrate that rickettsiae should be considered as potential agents of undifferentiated fever in Madagascar.

Indexed as

AdultAnimalsAntibodies, BacterialFemaleHumansInsect VectorsMadagascarMaleMiddle AgedPhylogenyRatsRickettsiaRocky Mountain Spotted FeverRodent DiseasesShrewsSiphonapteraAntibodies, BacterialFlea-borne spotted feverFleasMadagascarMurine typhusPrevalenceRickettsiaRickettsioses

Identifiers

PMID28259176
PMCPMC5336680
OpenAlexW2594406450

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.