Evidence map›Paper›PMID 31666114›Full record

ArticleParasites & vectors2019

Trypanosoma cruzi infection associated with atypical clinical manifestation during the acute phase of the Chagas disease.

Lucia Rangel-Gamboa, Lirio López-García, Francisco Moreno-Sánchez, Irma Hoyo-Ulloa, María Elisa Vega-Mémije, Nancy Mendoza-Bazán, Mirza Romero-Valdovinos, Angélica Olivo-Díaz, Guiehdani Villalobos, Fernando Martínez-Hernández

Open access · goldAbstract readCase Reports
In one paragraph

Article in Parasites & vectors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Clinical use of molecular methods forFrontiers in parasitology · 2023
    Article
  8. Review
  9. Article
  10. Prevalence and Epitope Recognition of Anti-Pathogens (Basel, Switzerland) · 2020
    Article
  11. Article
  12. 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

10 authors at 2 institutions in 1 country.

Lucia Rangel-GamboaDepartamento de Ecología de Agentes Patógenos, Hospital General "Dr. Manuel Gea González", Calzada de Tlalpan 4800, CP 14080, Mexico City, Mexico.
Lirio López-GarcíaPrivate Practice, Dermatología clínica, Lomas Altas, Mexico City, Mexico.
Francisco Moreno-SánchezDepartamento de Infectología, Centro Médico ABC, Mexico City, Mexico.
Irma Hoyo-UlloaDepartamento de Infectología, Centro Médico ABC, Mexico City, Mexico.
María Elisa Vega-MémijeDepartamento de Dermatopatología, Hospital General "Dr. Manuel Gea González", Calzada de Tlalpan 4800, CP 14080, Mexico City, Mexico.
Nancy Mendoza-BazánDepartamento de Ecología de Agentes Patógenos, Hospital General "Dr. Manuel Gea González", Calzada de Tlalpan 4800, CP 14080, Mexico City, Mexico.
Mirza Romero-ValdovinosDepartamento de Genética e Histocompatibilidad, Hospital General "Dr. Manuel Gea González", Calzada de Tlalpan 4800, CP 14080, Mexico City, Mexico.
Angélica Olivo-DíazDepartamento de Genética e Histocompatibilidad, Hospital General "Dr. Manuel Gea González", Calzada de Tlalpan 4800, CP 14080, Mexico City, Mexico.
Guiehdani VillalobosDepartamento de Ecología de Agentes Patógenos, Hospital General "Dr. Manuel Gea González", Calzada de Tlalpan 4800, CP 14080, Mexico City, Mexico. guiehda@yahoo.com.mx.
Fernando Martínez-HernándezDepartamento de Ecología de Agentes Patógenos, Hospital General "Dr. Manuel Gea González", Calzada de Tlalpan 4800, CP 14080, Mexico City, Mexico. fherxyz@yahoo.com.ORCID http://orcid.org/0000-0002-6140-8398
Hospital General Dr. Manuel Gea Gonzalez · MXCentro Médico ABC · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChagas disease (CD) is caused by the protozoan parasite Trypanosoma cruzi and is transmitted by triatomine insects. Clinical manifestations vary according to the phase of the disease. Cutaneous manifestations are usually observed in the acute phase (chagoma and Romaña's sign) or after reactivation of the chronic phase by immunosuppression; however, a disseminated infection in the acute phase without immunosuppression has not been reported for CD. Here, we report an unusual case of disseminated cutaneous infection during the acute phase of CD in a Mexican woman.

methodsEvaluation of the patient included a complete clinical history, a physical exam, and an exhaustive evaluation by laboratory tests, including ELISA, Western blot and PCR.

resultsSkin biopsies of a 50-year-old female revealed intracellular parasites affecting the lower extremities with lymphangitic spread in both legs. The PCR tests evaluated biopsy samples obtained from the lesions and blood samples, which showed a positive diagnosis for T. cruzi. Partial sequencing of the small subunit ribosomal DNA correlated with the genetic variant DTU II; however, serological tests were negative.

conclusionsWe present a case of CD with disseminated skin lesions that was detected by PCR and showed negative serological results. In Mexico, an endemic CD area, there are no records of this type of manifestation, which demonstrates the ability of the parasite to initiate and maintain infections in atypical tissues .

Indexed as

Acute DiseaseAntibodies, ProtozoanAntigens, ProtozoanBlotting, WesternChagas DiseaseDiagnosis, DifferentialDNA, ProtozoanDNA, RibosomalEnzyme-Linked Immunosorbent AssayFemaleHumansLegLymphatic SystemMexicoMiddle AgedPhylogenyAntibodies, ProtozoanAntigens, ProtozoanDNA, ProtozoanDNA, RibosomalProtozoan ProteinsAcute phase of the Chagas diseaseCutaneous disseminated infectionTrypanosoma cruzi

Identifiers

PMID31666114
PMCPMC6822409
OpenAlexW2982311087

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.