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Mycobacterium tuberculosis causing tuberculous lymphadenitis in Maputo, Mozambique

Overview of attention for article published in BMC Microbiology, November 2015
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Title
Mycobacterium tuberculosis causing tuberculous lymphadenitis in Maputo, Mozambique
Published in
BMC Microbiology, November 2015
DOI 10.1186/s12866-015-0603-5
Pubmed ID
Authors

Sofia Omar Viegas, Solomon Ghebremichael, Leguesse Massawo, Matos Alberto, Fabíola Couto Fernandes, Eliane Monteiro, David Couvin, José Maiane Matavele, Nalin Rastogi, Margarida Correia-Neves, Adelina Machado, Carla Carrilho, Ramona Groenheit, Gunilla Källenius, Tuija Koivula

Abstract

The zoonosis bovine tuberculosis (TB) is known to be responsible for a considerable proportion of extrapulmonary TB. In Mozambique, bovine TB is a recognised problem in cattle, but little has been done to evaluate how Mycobacterium bovis has contributed to human TB. We here explore the public health risk for bovine TB in Maputo, by characterizing the isolates from tuberculous lymphadenitis (TBLN) cases, a common manifestation of bovine TB in humans, in the Pathology Service of Maputo Central Hospital, in Mozambique, during one year. Among 110 patients suspected of having TBLN, 49 had a positive culture result. Of those, 48 (98 %) were positive for Mycobacterium tuberculosis complex and one for nontuberculous mycobacteria. Of the 45 isolates analysed by spoligotyping and Mycobacterial Interspersed Repetitive Unit - Variable Number Tandem Repeat (MIRU-VNTR), all were M. tuberculosis. No M. bovis was found. Cervical TBLN, corresponding to 39 (86.7 %) cases, was the main cause of TBLN and 66.7 % of those where from HIV positive patients. We found that TBLN in Maputo was caused by a variety of M. tuberculosis strains. The most prevalent lineage was the EAI (n = 19; 43.2 %). Particular common spoligotypes were SIT 48 (EAI1_SOM sublineage), SIT 42 (LAM 9), SIT 1 (Beijing) and SIT53 (T1), similar to findings among pulmonary cases. M. tuberculosis was the main etiological agent of TBLN in Maputo. M. tuberculosis genotypes were similar to the ones causing pulmonary TB, suggesting that in Maputo, cases of TBLN arise from the same source as pulmonary TB, rather than from an external zoonotic source. Further research is needed on other forms of extrapulmonary TB and in rural areas where there is high prevalence of bovine TB in cattle, to evaluate the risk of transmission of M. bovis from cattle to humans.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 32 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 32 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 25%
Researcher 4 13%
Lecturer 1 3%
Student > Bachelor 1 3%
Other 1 3%
Other 4 13%
Unknown 13 41%
Readers by discipline Count As %
Veterinary Science and Veterinary Medicine 5 16%
Medicine and Dentistry 4 13%
Agricultural and Biological Sciences 2 6%
Social Sciences 2 6%
Immunology and Microbiology 2 6%
Other 3 9%
Unknown 14 44%
Attention Score in Context

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 23 November 2015.
All research outputs
#18,430,915
of 22,833,393 outputs
Outputs from BMC Microbiology
#2,243
of 3,191 outputs
Outputs of similar age
#278,535
of 386,452 outputs
Outputs of similar age from BMC Microbiology
#41
of 62 outputs
Altmetric has tracked 22,833,393 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,191 research outputs from this source. They receive a mean Attention Score of 4.1. This one is in the 15th percentile – i.e., 15% of its peers scored the same or lower than it.
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We're also able to compare this research output to 62 others from the same source and published within six weeks on either side of this one. This one is in the 24th percentile – i.e., 24% of its contemporaries scored the same or lower than it.