Evidence map›Paper›PMID 37467211›Full record

ArticlePLoS neglected tropical diseases2023

Snakes and Souks: Zoonotic pathogens associated to reptiles in the Marrakech markets, Morocco.

Jairo Alfonso Mendoza-Roldan, Viviane Noll Louzada-Flores, Nouha Lekouch, Intissar Khouchfi, Giada Annoscia, Andrea Zatelli, Frédéric Beugnet, Julia Walochnik, Domenico Otranto

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Multilocus sequence typing ofOne health (Amsterdam, Netherlands) · 2025
    Article
  2. Article
  3. Parasites of reptiles in Iran (1922-2023): A literature review.International journal for parasitology. Parasites and wildlife · 2024
    Review
  4. Review
  5. Article
  6. Article
  7. Polyphasic Characterization ofMicroorganisms · 2024
    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

9 authors.

Jairo Alfonso Mendoza-RoldanDepartment of Veterinary Medicine, University of Bari, Valenzano, Italy.
Viviane Noll Louzada-FloresDepartment of Veterinary Medicine, University of Bari, Valenzano, Italy.
Nouha LekouchClinvet SA, Mohammedia, Morocco.
Intissar KhouchfiClinvet SA, Mohammedia, Morocco.
Giada AnnosciaDepartment of Veterinary Medicine, University of Bari, Valenzano, Italy.
Andrea ZatelliDepartment of Veterinary Medicine, University of Bari, Valenzano, Italy.
Frédéric BeugnetBoehringer Ingelheim Animal Health, Lyon, France.
Julia WalochnikCenter for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Domenico OtrantoDepartment of Veterinary Medicine, University of Bari, Valenzano, Italy.ORCID 0000-0002-7518-476X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The world-famous markets of Marrakech, also known in Arabic as souks, harbor a vast diversity of reptiles that are sold for medicinal/magic/pet purposes or used for snake charming. This unique epidemiological context has never been studied considering the interactions of humans, reptiles, and zoonotic pathogens. Thus, the aim of this study was to identify the parasites and pathogens present in blood and feces associated with handled reptiles in the markets of Marrakech to assess the risk of zoonotic transmission within the reptile-human interface. Privately owned reptiles (n = 118), coming from vendors or snake charmers, were examined and blood and feces sampled. DNA was extracted and molecular screening (cPCR, nPCR, qPCR, dqPCR) was performed aiming to identify potentially zoonotic pathogens (i.e., Anaplasma/Ehrlichia spp., Rickettsia spp., Borrelia burgdorferi sensu lato, Coxiella burnetii, Babesia/Theileria spp., Cryptosporidium spp., Giardia spp., Leishmania spp., Cestoda). Overall, 28.9% (34/118) of reptiles were positive for at least one pathogen. In blood, Anaplasma spp. were detected in four snakes, with two Montpellier snakes positive for Anaplasma phagocytophilum, while Rickettsia spp. were detected in one Mediterranean chameleon and four puff adders. Leishmania tarentolae was molecularly detected in a Mediterranean chameleon and a Montpellier snake. In feces, the cox1 gene generated a myriad of sequences for nematodes, cestodes, fungi and bacteria. Importantly, Proteus vulgaris was identified from a Mediterranean chameleon. Cryptosporidium spp. nPCR yielded a positive sample (i.e., Cryptosporidium sp. apodemus genotype I) from a Moroccan worm lizard, as well as for bacteria such as Pseudomonas aeruginosa in an Egyptian cobra, and Morganella morganii from a puff adder. Results from this study demonstrated the risk of zoonotic transmission of microorganisms and parasites present in blood and feces from reptiles that are brought to the souks in Marrakech, Morocco, to be sold for medicinal purposes or used for snake charming, being in direct and straight contact with humans.

Indexed as

CryptosporidiosisCryptosporidiumParasitesRickettsiaAnaplasmaAnimalsHumansMoroccoReptilesSnakes

Identifiers

PMID37467211
PMCPMC10355457

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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.