Evidence map›Paper›PMID 34678201›Full record

ReviewThe Lancet. Global health2021

A global call for talaromycosis to be recognised as a neglected tropical disease.

Shanti Narayanasamy, Vu Quoc Dat, Nguyen Tat Thanh, Vo Trieu Ly, Jasper Fuk-Woo Chan, Kwok-Yung Yuen, Chuanyi Ning, Hao Liang, Linghua Li, Anuradha Chowdhary and 13 more

Open access · goldAbstract readReview
In one paragraph

Review in The Lancet. Global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 2 pooled it
20.5field-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

90 citing papers in PubMed, 2 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. GastrointestinalFrontiers in immunology · 2022
    Pooled it
  3. Development and Clinical Evaluation of a Novel Talaromyces marneffei Mp1p Lateral Flow Assay for Rapid Diagnosis of Talaromycosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Recent Advances in the Diagnosis of Talaromycosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Review
  12. Article
  13. Clinical Features and Diagnostic Challenges ofInfection and drug resistance · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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  20. Article

30 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

23 authors at 15 institutions in 11 countries.

Shanti NarayanasamyDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
Vu Quoc DatDepartment of Medicine, Hanoi Medical University, Hanoi, Vietnam; Oxford University Clinical Research Unit, Hanoi, Vietnam.
Nguyen Tat ThanhWoolcock Institute of Medical Research, Ho Chi Minh City, Vietnam.
Vo Trieu LyDepartment of Infectious Diseases, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; Ward E, Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Jasper Fuk-Woo ChanState Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, Li Ka Shing Faculty of Medicine, and Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Carol Yu Centre for Infection, The University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region, China.
Kwok-Yung YuenState Key Laboratory of Emerging Infectious Diseases, Department of Microbiology, Li Ka Shing Faculty of Medicine, and Hainan Medical University-The University of Hong Kong Joint Laboratory of Tropical Infectious Diseases, Carol Yu Centre for Infection, The University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region, China.
Chuanyi NingBSL-3 Lab Core and Guangxi Key Laboratory of AIDS Prevention and Treatment, Life Sciences Institute, Guangxi Medical University, Guangxi, China.
Hao LiangBSL-3 Lab Core and Guangxi Key Laboratory of AIDS Prevention and Treatment, Life Sciences Institute, Guangxi Medical University, Guangxi, China.
Linghua LiInfectious Disease Center, Guangzhou Eighth People's Hospital, Guangzhou Medical University, Guangzhou, China.
Anuradha ChowdharyMedical Mycology Unit, Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India.
Sirida YoungchimDepartment of Microbiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Khuanchai SupparatpinyoDepartment of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Ne Myo AungDepartment of Medicine, University of Medicine 2, Yangon, Myanmar.
Josh HansonDepartment of Medicine, University of Medicine 2, Yangon, Myanmar; The Kirby Institute, University of New South Wales, Sydney, NSW, Australia.
Alex AndrianopoulosMolecular, Cellular, and Developmental Biology, School of Biosciences, University of Melbourne, Melbourne, VIC, Australia.
John DoughertyDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
Nelesh P GovenderNational Institute for Communicable Diseases, Division of the National Health Laboratory Service, Johannesburg, South Africa; Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
David W DenningManchester Fungal Infection Group, The University of Manchester, Manchester, UK; Global Action Fund for Fungal Infections, Geneva, Switzerland.
Tom ChillerCenter for Disease Control and Prevention, Atlanta, GA, USA.
Guy ThwaitesOxford University Clinical Research Unit, Hanoi, Vietnam; Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.
H Rogier van DoornOxford University Clinical Research Unit, Hanoi, Vietnam; Nuffield Department of Medicine, Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.
John PerfectDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA.
Thuy LeDivision of Infectious Diseases and International Health, Duke University School of Medicine, Durham, NC, USA; Oxford University Clinical Research Unit, Hanoi, Vietnam. Electronic address: thuy.le@duke.edu.
Duke University · USChiang Mai University · THGuangxi Medical University · CNOxford University Clinical Research Unit · VNUniversity Of Medicine 1 Yangon · MMCenters for Disease Control and Prevention · USGuangzhou Medical University · CNHainan Medical University · CNHospital for Tropical Diseases · VNNational Health Laboratory Service · ZAUniversity of Delhi · INUniversity of Hong Kong · HKUniversity of Manchester · GBUniversity of Melbourne · AUUniversity of Oxford · GB

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI GEORGIA Doris TOMARAS · 2005 to 2026
$50.5M
Tri-Institutional Molecular Mycology and Pathogenesis Training ProgramT32AI052080 · NIAID · DUKE UNIVERSITY · PI ANDREW ALSPAUGH, JOSEPH HEITMAN · 2003 to 2026
$8.7M
Making an early diagnosis of talaromycosis - an approach to reduce morbidity and mortality in advanced HIV disease in Southeast AsiaR01AI143409 · NIAID · DUKE UNIVERSITY · PI LE, THUY · 2019 to 2024
$2.8M
Tropical Medicine Research Center for Talaromycosis in VietnamU01AI169358 · NIAID · DUKE UNIVERSITY · PI Thuy Le · 2022 to 2026
$2.5M
Implications of mycoviral infection in Talaromyces marneffei: an analysis of human patient samples, RNAi, and hypermutationR21AI159397 · NIAID · DUKE UNIVERSITY · PI HEITMAN, JOSEPH, LE, THUY · 2021 to 2022
$443k
Mapping of the IgM and IgG antibody responses to Talaromyces marneffei infection in mice and humans - Deciphering acute from reactivated or latent infectionsR21AI162367 · NIAID · DUKE UNIVERSITY · PI LE, THUY · 2021 to 2022
$434k
Medical Research Council MR/P017622/1NIAID NIH HHS P30 AI064518NIAID NIH HHS R01 AI143409NIAID NIH HHS R21 AI159397NIAID NIH HHS R21 AI162367NIAID NIH HHS T32 AI052080NIAID NIH HHS U01 AI169358
6 · The paper itself

Abstract

Talaromycosis (penicilliosis) is an invasive mycosis that is endemic in tropical and subtropical Asia. Talaromycosis primarily affects individuals with advanced HIV disease and other immunosuppressive conditions, and the disease disproportionally affects people in low-income and middle-income countries, particularly agricultural workers in rural areas during their most economically productive years. Approximately 17 300 talaromycosis cases and 4900 associated deaths occur annually. Talaromycosis is highly associated with the tropical monsoon season, when flooding and cyclones can exacerbate the poverty-inducing potential of the disease. Talaromycosis can present as localised or disseminated disease, the latter causing cutaneous lesions that are disfiguring and stigmatising. Despite up to a third of diagnosed cases resulting in death, talaromycosis has received little attention and investment from regional and global funders, policy makers, researchers, and industry. Diagnostic and treatment modalities remain extremely insufficient, however control of talaromycosis is feasible with known public health strategies. This Viewpoint is a global call for talaromycosis to be recognised as a neglected tropical disease to alleviate its impact on susceptible populations.

Indexed as

AsiaHumansMycosesNeglected DiseasesPublic HealthTropical Medicine

Identifiers

PMID34678201
PMCPMC10014038
OpenAlexW3205919337

What OpenQuestion holds

Textmetadata
LicenceTDM
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.