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Lip leishmaniasis: a case series with molecular identification and literature review

Overview of attention for article published in BMC Infectious Diseases, January 2017
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Title
Lip leishmaniasis: a case series with molecular identification and literature review
Published in
BMC Infectious Diseases, January 2017
DOI 10.1186/s12879-016-2178-7
Pubmed ID
Authors

Iraj Mohammadpour, Mohammad Hossein Motazedian, Farhad Handjani, Gholam Reza Hatam

Abstract

Mucocutaneous leishmaniasis (MCL), a protozoan infectious disease, is very rare in Iran despite the endemicity of both cutaneous and visceral forms. It is transmitted by the Phlebotomus sand fly. The lip is considered one of the extraordinary sites. Lesions usually initiate with erythematous papules, slowly enlarges and then it ulcerates. The diagnosis of MCL encompasses epidemiological, clinical and laboratory aspects. Usually, the combination of some of these elements is necessary for the final diagnosis. So, lip leishmaniasis lesions can be challenging to diagnose. We presented seven rare cases of lip leishmaniasis. Tissue impression smear, culture, PCR and phylogenetic analysis were carried out for explicit diagnosis. Skin scraping investigation showed several Leishmania spp. amastigotes in the cytoplasm of macrophages. Culture examination was positive for Leishmania spp. PCR was positive for L. major, L. tropica, and L. infantum. Differential diagnosis includes orofacial granulomatosis, basal cell carcinoma, squamous cell carcinoma, and mesenchymal tumors. The cases were treated with systemic meglumine antimoniate (Glucantime(®)). No relapses were observed during 1 year of follow-up. Early detection of the infection are necessary in order to start effective treatment and prevent more serious complications. In this paper, we reported seven rare cases of lip leishmaniasis in Iran, emphasized the importance of clinical and diagnostic features of lesions, characterized the phylogenetic kinship of isolated parasites, and reviewed the literature on lip leishmaniasis.

Mendeley readers

The data shown below were compiled from readership statistics for 59 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 59 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 9 15%
Student > Master 8 14%
Student > Doctoral Student 6 10%
Student > Ph. D. Student 6 10%
Researcher 5 8%
Other 12 20%
Unknown 13 22%
Readers by discipline Count As %
Medicine and Dentistry 17 29%
Immunology and Microbiology 6 10%
Biochemistry, Genetics and Molecular Biology 5 8%
Agricultural and Biological Sciences 4 7%
Veterinary Science and Veterinary Medicine 3 5%
Other 9 15%
Unknown 15 25%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 June 2017.
All research outputs
#10,057,434
of 11,340,430 outputs
Outputs from BMC Infectious Diseases
#3,725
of 4,216 outputs
Outputs of similar age
#223,074
of 267,546 outputs
Outputs of similar age from BMC Infectious Diseases
#77
of 106 outputs
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We're also able to compare this research output to 106 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.