Evidence map›Paper›PMID 38104111›Full record

ArticleParasites & vectors2023

First report of cutaneous leishmaniasis caused by Leishmania donovani in Ethiopia.

Gashaw Azanaw Amare, Gebeyaw Getnet Mekonnen, Mekibib Kassa, Ayenew Addisu, Desalegn Adane Kendie, Banchamlak Tegegne, Adugna Abera, Dagimawie Tadesse, Seid Getahun, Yenesew Mihret Wondmagegn and 6 more

Open access · goldAbstract read
In one paragraph

Article in Parasites & vectors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Leishmaniasis.Nature reviews. Disease primers · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Assessment of High-Resolution Melting Curve Analysis forPathogens (Basel, Switzerland) · 2024
    Article
  16. 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

16 authors at 6 institutions in 2 countries.

Gashaw Azanaw AmareDebre Markos University, Debre Markos, Ethiopia. gashaw1azanaw@gmail.com.
Gebeyaw Getnet MekonnenUniversity of Gondar, Gondar, Ethiopia.
Mekibib KassaUniversity of Gondar, Gondar, Ethiopia.
Ayenew AddisuUniversity of Gondar, Gondar, Ethiopia.
Desalegn Adane KendieUniversity of Gondar, Gondar, Ethiopia.
Banchamlak TegegneAmhara Public Health Institute, Bahir Dar, Ethiopia.
Adugna AberaEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Dagimawie TadesseArba Minch University, Arba Minch, Ethiopia.
Seid GetahunWollo University, Dessie, Ethiopia.
Yenesew Mihret WondmagegnUniversity of Gondar, Gondar, Ethiopia.
Behailu MerdekiosArba Minch University, Arba Minch, Ethiopia.
Mezgebu Silamsaw AsresUniversity of Gondar, Gondar, Ethiopia.
Johan van GriensvenInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.
Gert Van der AuweraInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.
Saskia van HentenInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.
Myrthe PareynInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.
University of Gondar · ETInstituut voor Tropische Geneeskunde · BEArba Minch University · ETEthiopian Public Health Institute · ETDebre Markos University · ETWollo University · ET

Funding

Directorate-General development cooperation and Humanitarian Aid (DGD) Framework agreement 4 - Ethiopia
6 · The paper itself

Abstract

backgroundLeishmaniasis is a common neglected tropical disease in Ethiopia. Visceral leishmaniasis (VL) caused by Leishmania donovani presents in the lowlands, while cutaneous leishmaniasis (CL) affects people living in the highlands. Although CL is described as being caused by Leishmania aethiopica, there is also evidence of L. tropica and L. major isolated from a patient, sand flies and potential reservoirs. Information on species causing CL in Ethiopia is patchy, and no nation-wide study has ever been done. Understanding which species are causing CL in Ethiopia can have important implications for patient management and disease prevention.

methodsWe analyzed stored routine samples and biobanked DNA isolates from previously conducted studies of CL patients from different centers in the north, center and south of Ethiopia. Species typing was performed using ITS-1 PCR with high-resolution melt (HRM) analysis, followed by HSP70 amplicon sequencing on a selection of the samples. Additionally, sociodemographic, clinical and laboratory data of patients were analyzed.

resultsOf the 226 CL samples collected, the Leishmania species could be determined for 105 (45.5%). Leishmania aethiopica was identified in 101 (96.2%) samples from across the country. In four samples originating from Amhara region, northwestern Ethiopia, L. donovani was identified by ITS-1 HRM PCR, of which two were confirmed with HSP70 sequences. While none of these four patients had symptoms of VL, two originated from known VL endemic areas.

conclusionsThe majority of CL was caused by L. aethiopica, but CL due to L. tropica and L. major cannot be ruled out. Our study is the first to our knowledge to demonstrate CL patients caused by L. donovani in Ethiopia. This should spark future research to investigate where, how and to which extent such transmission takes place, how it differs genetically from L. donovani causing VL and whether such patients can be diagnosed and treated successfully with the currently available tools and drugs.

Indexed as

Leishmania donovaniLeishmaniasis, CutaneousLeishmaniasis, VisceralEthiopiaHumansPolymerase Chain ReactionCutaneous leishmaniasisEthiopiaLeishmania aethiopicaLeishmania donovaniSpecies typing

Identifiers

PMID38104111
PMCPMC10725588
OpenAlexW4389849988

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.