Evidence map›Paper›PMID 31553455›Full record

ArticleJournal of travel medicine2019

Cutaneous and mucocutaneous leishmaniasis in travellers and migrants: a 20-year GeoSentinel Surveillance Network analysis.

Andrea K Boggild, Eric Caumes, Martin P Grobusch, Eli Schwartz, Noreen A Hynes, Michael Libman, Bradley A Connor, Sumontra Chakrabarti, Philippe Parola, Jay S Keystone and 7 more

Open access · greenAbstract read
In one paragraph

Article in Journal of travel medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
8.4field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 72 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Cutaneous leishmaniasis in Afghanistan.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2025
    Review
  5. Molecular detection ofInternational journal for parasitology. Parasites and wildlife · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Is leishmaniasis the new emerging zoonosis in the world?Veterinary research communications · 2023
    Review
  11. How I Approach Leishmaniasis: Diagnosis and Treatment in the United States.Journal of the Pediatric Infectious Diseases Society · 2022
    Article
  12. Review
  13. Gender and Cutaneous Leishmaniasis in Israel.Tropical medicine and infectious disease · 2022
    Article
  14. Article
  15. Cutaneous leishmaniasis in a 12-year-old Syrian immigrant.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Article
  16. Surveillance of leishmaniasis cases from 15 European centres, 2014 to 2019: a retrospective analysis.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Article
  17. Efficacy and Tolerability of Miltefosine in the Treatment of Cutaneous Leishmaniasis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  18. Observational
  19. Article
  20. "Chiclero's Ulcer" Due toPathogens (Basel, Switzerland) · 2021
    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

17 authors at 20 institutions in 12 countries.

Andrea K BoggildTropical Disease Unit, Division of Infectious Diseases, University Health Network-Toronto General Hospital, Toronto, Canada.
Eric CaumesSorbonne Université, AP-HP, Hôpitaux Universitaires Pitié-Salpêtrière Charles Foix, Service de Maladies infectieuses et Tropicales, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP), 75013, Paris, France.
Martin P GrobuschCenter of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam Academic Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Eli SchwartzInstitute of Geographic Medicine and Tropical Diseases, Sheba Medical Center Tel Hashomer and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Noreen A HynesSchool of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Michael LibmanJ.D. MacLean Centre for Tropical Diseases, McGill University Health Centre, Montreal Canada.
Bradley A ConnorDepartment of Medicine, Weill Cornell Medical College, New York, USA.
Sumontra ChakrabartiTropical Disease Unit, Division of Infectious Diseases, University Health Network-Toronto General Hospital, Toronto, Canada.
Philippe ParolaAix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France.
Jay S KeystoneTropical Disease Unit, Division of Infectious Diseases, University Health Network-Toronto General Hospital, Toronto, Canada.
Theodore NashClinical Parasitology Section, Laboratory of Parasitic Diseases, National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Adrienne J ShowlerTropical Disease Unit, Division of Infectious Diseases, University Health Network-Toronto General Hospital, Toronto, Canada.
Mirjam SchunkDivision of Infectious Diseases and Tropical Medicine, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Hilmir AsgeirssonDepartment of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden.
Davidson H HamerDepartment of Global Health, Boston University School of Public Health, Boston, MA, USA.
Kevin C KainTropical Disease Unit, Division of Infectious Diseases, University Health Network-Toronto General Hospital, Toronto, Canada.
GeoSentinel Surveillance Network
University Health Network · CAAix-Marseille Université · FRHôpital d'Instruction des Armées Bégin · FRMcGill University Health Centre · CAAddenbrooke's Hospital · GBAmsterdam UMC Location University of Amsterdam · NLBloomberg (United States) · USBoston University · USCentre d'Immunologie et des Maladies Infectieuses · FRCornell University · USDélégation Paris 5 · FRInserm · FRKarolinska University Hospital · SELudwig-Maximilians-Universität München · DEMéditerranée Infection Foundation · FRMonash University · AUNational Institute for Communicable DiseasesNational Institutes of Health · USTel Aviv University · ILUniversity of Cape Town · ZA

Funding

Medical Research Council G0701652NCEZID CDC HHS U38 CK000478NCEZID CDC HHS U50 CK000189
6 · The paper itself

Abstract

backgroundCutaneous leishmaniasis (CL) may be emerging among international travellers and migrants. Limited data exist on mucocutaneous leishmaniasis (MCL) in travellers. We describe the epidemiology of travel-associated CL and MCL among international travellers and immigrants over a 20-year period through descriptive analysis of GeoSentinel data.

methodsDemographic and travel-related data on returned international travellers diagnosed with CL or MCL at a GeoSentinel Surveillance Network site between 1 September 1997 and 31 August 2017 were analysed.

resultsA total of 955 returned travellers or migrants were diagnosed with travel-acquired CL (n = 916) or MCL during the study period, of whom 10% (n = 97) were migrants. For the 858 non-migrant travellers, common source countries were Bolivia (n = 156, 18.2%) and Costa Rica (n = 97, 11.3%), while for migrants, they were Syria (n = 34, 35%) and Afghanistan (n = 22, 22.7%). A total of 99 travellers (10%) acquired their disease on trips of ≤ 2 weeks. Of 274 cases for which species identification was available, Leishmania Viannia braziliensis was the most well-represented strain (n = 117, 42.7%), followed by L. major (n = 40, 14.6%) and L. V. panamensis (n = 38, 13.9%). Forty cases of MCL occurred, most commonly in tourists (n = 29, 72.5%) and from Bolivia (n = 18, 45%). A total of 10% of MCL cases were acquired in the Old World.

conclusionsAmong GeoSentinel reporting sites, CL is predominantly a disease of tourists travelling mostly to countries in Central and South America such as Bolivia where risk of acquiring L. V. braziliensis and subsequent MCL is high. The finding that some travellers acquired leishmaniasis on trips of short duration challenges the common notion that CL is a disease of prolonged travel. Migrants from areas of conflict and political instability, such as Afghanistan and Syria, were well represented, suggesting that as mass migration of refugees continues, CL will be increasingly encountered in intake countries.

Indexed as

Transients and MigrantsTravel-Related IllnessAdolescentAdultAfghanistanAgedAged, 80 and overBoliviaCanadaChildChild, PreschoolCosta RicaFemaleHumansInfantLeishmaniasis, Mucocutaneouscutaneous leishmaniasisGeoSentinelmucosal leishmaniasisskin lesions after traveltegumentary leishmaniasisvector-borne disease

Identifiers

PMID31553455
PMCPMC7353840
OpenAlexW2964885400

What OpenQuestion holds

Textmetadata
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.