Evidence map›Paper›PMID 38198499›Full record

ArticlePLoS neglected tropical diseases2024

The changing epidemiology of human leishmaniasis in the non-endemic country of Austria between 2000 to 2021, including a congenital case.

Katharina Riebenbauer, Stefan Czerny, Maximilian Egg, Nikolaus Urban, Tamar Kinaciyan, Amélie Hampel, Luise Fidelsberger, Franz Karlhofer, Stefanie Porkert, Julia Walochnik and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in PLoS neglected tropical diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
14.7field-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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Epidemiology of malaria and leishmaniasis in Thailand (2004-2025): A systematic review.Current research in parasitology & vector-borne diseases · 2026
    Review
  5. First molecular detection ofOne health (Amsterdam, Netherlands) · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Commentary on the Issue ofVeterinary sciences · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. A climatic suitability indicator to supportThe Lancet regional health. Europe · 2024
    Article
  16. Article
  17. Immune response to viscerotropicFrontiers in immunology · 2024
    Review
  18. 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

11 authors at 1 institution in 1 country.

Katharina RiebenbauerDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Stefan CzernyDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Maximilian EggDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Nikolaus UrbanDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Tamar KinaciyanDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Amélie HampelDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Luise FidelsbergerInstitute of Specific Prophylaxis and Tropical Medicine, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Franz KarlhoferDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Stefanie PorkertDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Julia WalochnikInstitute of Specific Prophylaxis and Tropical Medicine, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Alessandra HandisuryaDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-9823-7644
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeishmaniasis is caused by infection with intracellular protozoans of the genus Leishmania. Transmission occurs predominantly by the bite of phlebotomine sandflies, other routes, including congenital transmission, are rare. The disease manifests as either cutaneous, visceral or mucosal/mucocutaneous leishmaniasis. In recent years, changes in the epidemiological pattern have been reported from Europe. PRINCIPAL

findingsA total of 311 new and 29 published leishmaniasis cases occurring between 01/01/2000 and 12/31/2021 in Austria were collected and analyzed. These encompassed 146 cutaneous (CL), 14 visceral (VL), 4 mucosal, and 3 cases with concurrent VL and CL. In addition, asymptomatic infections, comprising 11 unspecified cases with Leishmania DNA detectable only in the blood and 162 cases with anti-Leishmania antibodies were reported. Particularly since 2016, the incidence of leishmaniasis has steadily risen, mainly attributable to increasing numbers of CL and cases with positive serology against Leishmania species, whereas the incidence of VL has slowly decreased. Analysis revealed that a shift in the causative species spectrum had occurred and that a substantial number of CL cases were caused by members of the Leishmania donovani/infantum complex. Simultaneous occurrence of VL and CL was identified in immunocompromised individuals, but also in a not yet reported case of an immunocompetent child after vertical transmission.

conclusionsThe incidence of leishmaniasis has risen in the recent years. The numbers are anticipated to keep rising due to increasing human mobility, including travel and forced migration, growing reservoir host populations as well as expansion and dispersal of vector species caused by climate and habitat changes, urbanization and globalization. Hence, elevated awareness for the disease, including possible transmission in previously non-endemic regions and non-vector transmission modes, support of sandfly surveillance efforts and implementation and establishment of public health interventions in a One Health approach are pivotal in the global efforts to control and reduce leishmaniasis.

Indexed as

LeishmaniaLeishmaniasisLeishmaniasis, CutaneousLeishmaniasis, MucocutaneousLeishmaniasis, VisceralPsychodidaeAnimalsAustriaChildHumansSkin

Identifiers

PMID38198499
PMCPMC10805284
OpenAlexW4390692995

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.