Evidence map›Paper›PMID 31579666›Full record

ArticleTropical parasitology

Cutaneous leishmaniasis in Bikaner, India: Clinicoepidemiological profile; parasite identification using conventional, molecular methods and CL Detect™ rapid test, a new Food and Drug Administration-approved test.

Ekadashi Rajni, B C Ghiya, Sarman Singh, Prem Shankar, Taruna Swami, Deepika Singh Jadon, S R Negi, Manisha Malik, P K Khatri

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In one paragraph

Article in Tropical parasitology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

9 authors at 5 institutions in 1 country.

Ekadashi RajniDepartment of Microbiology, College of Medical Sciences, RUHS, Jaipur, Rajasthan, India.
B C GhiyaDepartment of Skin and VD, SP Medical College, Bikaner, Rajasthan, India.
Sarman SinghDirector and CEO, AIIMS, Bhopal, Madhya Pradesh, India.
Prem ShankarDivision of Clinical Microbiology and Molecular Medicine, AIIMS, New Delhi, India.
Taruna SwamiDepartment of Microbiology, SP Medical College, Bikaner, Rajasthan, India.
Deepika Singh JadonDepartment of Skin and VD, SP Medical College, Bikaner, Rajasthan, India.
S R NegiDepartment of Pathology, SN Medical College, Jodhpur, Rajasthan, India.
Manisha MalikDepartment of PSM, College of Medical Sciences, RUHS, Jaipur, Rajasthan, India.
P K KhatriDepartment of Microbiology, SN Medical College, Jodhpur, Rajasthan, India.
Sardar Patel Medical College · INRajasthan University of Health Sciences · INSarojini Naidu Medical College · INAll India Institute of Medical Sciences · INAll India Institute of Medical Sciences Bhopal · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveCutaneous Leishmaniasis (CL) is a dermal manifestation caused by various species of Leishmania. This is the most common Leishmanial syndrome seen worldwide and is emerging as and threatens to become an uncontrollable disease. The present study was planned to understand the current epidemiology of CL in the conventionally endemic area of Bikaner, Rajasthan. Species characterization was also done. MATERIAL AND

methodsThe diagnostic modalities used in the study were microscopy, histopathologic examination, antigen testing and confirmation and species characterization by PCR. Field evaluation of the new antigen detection kit approved by FDA in 2016 CL Detect™ IC-RDT was done and its results compared with other available diagnostic tests.

resultsA total of 14 cases with 25 skin lesions presented to the Skin OPD during the six month study period (January to June 2018). Out of these, 5 were males and 9 were females, average age being 32 yrs. Students and housewives of poor socio economic group were the most frequently affected groups. Lesions were found on the exposed areas of the body, mainly on the upper limbs and facial region. Majority of them were ulcerated plaques. Out of 14 cases under study, antigen test confirmed 7 positives; thereby yielding a positive rate of 50% against 71.4% for microscopy, 72.7% for PCR and a mere 38.5% for histopathology. Species characterization revealed Leishmania tropica as the causative organism. INTERPRETATION AND

conclusionThe study indicates that the number of cases have declined substantially over the past decade in Bikaner. Despite being the oldest technique used, microscopy still is a good option for diagnosis. Combined with PCR, diagnostic accuracy and hence utility is increased multifold. In its current form, IC-RDT may not be very useful.

Indexed as

Bikanercutaneous leishmaniasisdiagnosisepidemiologynovel antigen detection test

Identifiers

PMID31579666
PMCPMC6767788
OpenAlexW2974947011

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.