Evidence map›Paper›PMID 31864403›Full record

ReviewParasites & vectors2019

A review on the eco-epidemiology and clinical management of human granulocytic anaplasmosis and its agent in Europe.

Ioana A Matei, Agustín Estrada-Peña, Sally J Cutler, Muriel Vayssier-Taussat, Lucía Varela-Castro, Aleksandar Potkonjak, Herve Zeller, Andrei D Mihalca

Open access · goldAbstract readReview
In one paragraph

Review in Parasites & vectors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 2 pooled it
11.4field-weighted citation impact, top 1% 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

86 citing papers in PubMed, 2 syntheses or guidelines pooled it, 153 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Tick-Borne Pathogens in Wild Cervids from Poland: A Molecular Survey onAnimals : an open access journal from MDPI · 2026
    Article
  4. Article
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  8. Article
  9. Article
  10. Review
  11. Exploration of geographical population structure ofCurrent research in parasitology & vector-borne diseases · 2026
    Article
  12. Article
  13. Molecular detection and phylogenetic characterization ofFrontiers in cellular and infection microbiology · 2026
    Article
  14. Article
  15. Epidemiological Significance of the Fox (Pathogens (Basel, Switzerland) · 2025
    Article
  16. Detection ofAnimals : an open access journal from MDPI · 2025
    Article
  17. Article
  18. Seroprevalence ofMicroorganisms · 2025
    Article
  19. Impact of Human Granulocytic Anaplasmosis in Spain from 1997 to 2022.Tropical medicine and infectious disease · 2025
    Review
  20. Molecular Surveillance ofPathogens (Basel, Switzerland) · 2025
    Article

26 more citing papers are in PubMed but not listed here.

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

8 authors at 6 institutions in 7 countries.

Ioana A MateiDepartment of Parasitology and Parasitic Diseases, Faculty of Veterinary Medicine, University of Agricultural Science and Veterinary Medicine Cluj-Napoca, Cluj-Napoca, Romania.
Agustín Estrada-PeñaDepartment of Animal Health, Faculty of Veterinary Medicine, University of Zaragoza, Zaragoza, Spain.
Sally J CutlerSchool of Health, Sport & Bioscience, University of East London, London, UK. s.cutler@uel.ac.uk.ORCID http://orcid.org/0000-0003-3429-0651
Muriel Vayssier-TaussatDepartment of Animal Health, French National Institute for Agricultural Research, Maisons-Alfort, France.
Lucía Varela-CastroDepartment of Animal Health, Faculty of Veterinary Medicine, University of Zaragoza, Zaragoza, Spain.
Aleksandar PotkonjakDepartment of Veterinary Medicine, Faculty of Agriculture, University of Novi Sad, Novi Sad, Serbia.
Herve ZellerEmerging and Vector-borne Diseases Programme, European Centre for Disease Prevention and Control, Solna, Sweden.
Andrei D MihalcaDepartment of Parasitology and Parasitic Diseases, Faculty of Veterinary Medicine, University of Agricultural Science and Veterinary Medicine Cluj-Napoca, Cluj-Napoca, Romania.
Universidad de Zaragoza · ESUniversity of Agricultural Sciences and Veterinary Medicine of Cluj-Napoca · ROLaboratoire de Biologie du Développement · FRUniversity of East London · GBUniversity of Novi Sad · RSVector & Vector-Borne Diseases Research Institute · TZ

Funding

IDENTIFICATION OF NURSING HOME RESIDENTS FOR BEHAVIORAL NURSING INTERVENTIONSZ01AG000611 · NIA · AGING · PI MYERS, A H · 1994 to 1994
–
European Centre for Disease Prevention and Control OJ/24/04/2014-PROC/2014/013Ministry of Research and Innovation of Romania 37PFE/06.11.2018
6 · The paper itself

Abstract

Anaplasma phagocytophilum is the agent of tick-borne fever, equine, canine and human granulocytic anaplasmosis. The common route of A. phagocytophilum transmission is through a tick bite, the main vector in Europe being Ixodes ricinus. Despite the apparently ubiquitous presence of the pathogen A. phagocytophilum in ticks and various wild and domestic animals from Europe, up to date published clinical cases of human granulocytic anaplasmosis (HGA) remain rare compared to the worldwide status. It is unclear if this reflects the epidemiological dynamics of the human infection in Europe or if the disease is underdiagnosed or underreported. Epidemiologic studies in Europe have suggested an increased occupational risk of infection for forestry workers, hunters, veterinarians, and farmers with a tick-bite history and living in endemic areas. Although the overall genetic diversity of A. phagocytophilum in Europe is higher than in the USA, the strains responsible for the human infections are related on both continents. However, the study of the genetic variability and assessment of the difference of pathogenicity and infectivity between strains to various hosts has been insufficiently explored to date. Most of the European HGA cases presented as a mild infection, common clinical signs being pyrexia, headache, myalgia and arthralgia. The diagnosis of HGA in the USA was recommended to be based on clinical signs and the patient's history and later confirmed using specialized laboratory tests. However, in Europe since the majority of cases are presenting as mild infection, laboratory tests may be performed before the treatment in order to avoid antibiotic overuse. The drug of choice for HGA is doxycycline and because of potential for serious complication the treatment should be instituted on clinical suspicion alone.

Indexed as

Anaplasma phagocytophilumAnaplasmosisAnimalsAnti-Bacterial AgentsEuropeHorsesHumansIxodesAnti-Bacterial AgentsAnaplasma phagocytophilumClinical signsDiagnosisHGAPrevalenceTransmission

Identifiers

PMID31864403
PMCPMC6925858
OpenAlexW2996733029

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.