Evidence map›Paper›PMID 38645889›Full record

ArticleInfection and drug resistance2024

Coinfection with Leprosy and Tuberculosis: A Case Series in Malagasy Patients.

Mendrika Fifaliana Rakotoarisaona, Tsiory Iarintsoa Razafimaharo, Fandresena Arilala Sendrasoa, Malalaniaina Andrianarison, Naina Harinjara Razanakoto, Volatantely Tobiniaina Ratovonjanahary, Onivola Raharolahy, Irina Mamisoa Ranaivo, Lala Soavina Ramarozatovo, Fahafahantsoa Rapelanoro Rabenja

Open access · goldAbstract read
In one paragraph

Article in Infection and drug resistance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. 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

10 authors at 2 institutions in 1 country.

Mendrika Fifaliana Rakotoarisaona *Department of Dermatology, University Hospital of Analakely, Antananarivo, Madagascar.ORCID 0000-0002-0444-0850
Tsiory Iarintsoa Razafimaharo *Department of Dermatology, University of Befelatanana, Antananarivo, Madagascar.
Fandresena Arilala Sendrasoa *Department of Dermatology, University of Befelatanana, Antananarivo, Madagascar.ORCID 0000-0003-2606-3539
Malalaniaina Andrianarison *Department of Dermatology, University Hospital of Analakely, Antananarivo, Madagascar.
Naina Harinjara Razanakoto *Department of Dermatology, University Hospital of Mahavoky Antsimo, Mahajanga, Madagascar.
Volatantely Tobiniaina Ratovonjanahary *Department of Dermatology, University of Befelatanana, Antananarivo, Madagascar.
Onivola Raharolahy *Department of Dermatology, University of Befelatanana, Antananarivo, Madagascar.ORCID 0000-0002-9226-952X
Irina Mamisoa RanaivoDepartment of Dermatology, University Hospital of Morafeno, Tamatavy, Madagascar.ORCID 0000-0002-7817-9317
Lala Soavina RamarozatovoDepartment of Dermatology, University Hospital of Analakely, Antananarivo, Madagascar.
Fahafahantsoa Rapelanoro RabenjaDepartment of Dermatology, University Hospital of Analakely, Antananarivo, Madagascar.ORCID 0000-0002-0486-4071
University of Antananarivo · MGUniversité de Mahajanga · MG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Leprosy and tuberculosis are two of the oldest and most common mycobacterial infections, caused by Purpose: We report a case series of simultaneous occurrence of leprosy and tuberculosis. Patients and Methods: In this retrospective study, we reviewed the medical records of patients with leprosy registered at the Department of Dermatology, University Hospital Befelatanana, Antananarivo, Madagascar, between January 2012 and June 2021. Patients with leprosy and diagnosed as coinfected by tuberculosis were included in the study. Results: Of the 120 leprosy cases observed during the study period, coinfection with leprosy and tuberculosis was found in five patients. The mean age was 43.4 (SD 13.2) ranging, 21-59 years. Male gender was predominant (4/5). Four patients presented with lepromatous leprosy, and one with borderline lepromatous leprosy. Three patients experienced leprosy reaction. Four cases of pulmonary tuberculosis and one case of multifocal tuberculosis were observed. The diagnosis of leprosy preceded tuberculosis in four cases, and a coinfection diagnosis was made simultaneously in one case. The average time to develop tuberculosis was 38.8 (SD 10.2) months. HIV infection, malnutrition, alcohol consumption, and long-term corticosteroid therapy were the immunosuppressive factors reported in our patients. Three patients received concomitant multidrug therapy for leprosy and tuberculosis. Conclusion: Dermatologists should be aware of the importance of screening patients affected by leprosy for latent or active tuberculosis to prevent morbidity and mortality due to coinfection and to reduce the risk of acquired resistance to rifampicin, which is the greatest risk of this association.

Indexed as

MadagascarMycobacterium lepraerifampicin

Identifiers

PMID38645889
PMCPMC11027919
OpenAlexW4394815647

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.