Outbreak of cutaneous leishmaniasis amongst militia members in a non-endemic district under conflict in the lowlands of Somali Region caused by Leishmania tropica, Eastern Ethiopia Article Swipe
Adugna Abera
,
Henok Tadesse
,
Dereje Beyene
,
Desalegn Geleta
,
Mahlet Belachew
,
Ebise Abose Djirata
,
Solomon Kinde
,
Hailemariam Difabachew
,
Tesfahun Bishaw
,
Mussie Abdosh Hassen
,
Abdulahi Gire
,
Tariku Mulatu Bore
,
Brhane Berhe
,
Medhanye Habtetsion
,
Zalalam Olani Tugga
,
Endawoke Eyelachew
,
Worku Birhanu Sefer
,
Kaoutar Choukri
,
Jasmine Coppens
,
Gemechu Tadese
,
Kebron Haile
,
Hana Bekele
,
Zeyede Kebede
,
Gert Van der Auwera
,
Fikre Seife
,
Melkamu Abte
,
Getachew Tollera
,
Mesay Hailu
,
J.-C. Dujardin
,
Johan van Griensven
,
Dawit Wolday
,
Wendemagegn Embiale
,
Myrthe Pareyn
,
Geremew Tasew
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pntd.0013246
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pntd.0013246
Background Cutaneous leishmaniasis (CL) in Ethiopia has typically been linked to high-altitude regions but has recently emerged at an unusually low altitude of 500 meters in the Somali Region, raising public health concerns. Cutaneous leishmaniasis has not been previously identified in the region. There is a conflict in the starting area and only militias have been infected with very serious lesions. Methodology/Principal findings Routine clinical and socio-demographic information was extracted from the patient chart using a case report form. Additionally, clinical and laboratory data were obtained from 30 patients suspected for CL. Skin scraping and fine needle aspirates were collected from the raised edges, nodular and centre of the lesions followed by DNA extraction using the DNeasy Blood and Tissue kit. There were a total of 1050 CL patients recruited, all of them were male militia members, immunologically naïve and displaced into a conflict area with a likely sylvatic transmission cycle. We identified Leishmania tropica as the causative species, challenging the previous assumption that L. aethiopica was the primary agent of CL in Ethiopia. Notably, over 77% of patients had more than 10 lesions, a presentation atypical for L. tropica elsewhere. Phlebotomus orientalis and P. sergenti , vectors for visceral leishmaniasis and CL in North Africa respectively, were found in the outbreak area. Conclusions/Significance Further research is needed to explore the eco-epidemiology of the outbreak and patient’s treatment responses. Insights will help develop management strategies to control this newly emerging form of CL, prevent its spread to other regions and hybridization with Leishmania strains causing VL endemic in the area.
Related Topics
Concepts
Leishmania tropica
Cutaneous leishmaniasis
Somali
Outbreak
Leishmaniasis
Epidemiology
Leishmania
Visceral leishmaniasis
Veterinary medicine
Transmission (telecommunications)
Medicine
Leishmania major
Leishmania infantum
Geography
Dermatology
Environmental health
Immunology
Virology
Pathology
World Wide Web
Philosophy
Engineering
Computer science
Linguistics
Electrical engineering
Parasite hosting
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pntd.0013246
- OA Status
- gold
- Cited By
- 1
- References
- 30
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4412560438
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4412560438Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1371/journal.pntd.0013246Digital Object Identifier
- Title
-
Outbreak of cutaneous leishmaniasis amongst militia members in a non-endemic district under conflict in the lowlands of Somali Region caused by Leishmania tropica, Eastern EthiopiaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-07-22Full publication date if available
- Authors
-
Adugna Abera, Henok Tadesse, Dereje Beyene, Desalegn Geleta, Mahlet Belachew, Ebise Abose Djirata, Solomon Kinde, Hailemariam Difabachew, Tesfahun Bishaw, Mussie Abdosh Hassen, Abdulahi Gire, Tariku Mulatu Bore, Brhane Berhe, Medhanye Habtetsion, Zalalam Olani Tugga, Endawoke Eyelachew, Worku Birhanu Sefer, Kaoutar Choukri, Jasmine Coppens, Gemechu Tadese, Kebron Haile, Hana Bekele, Zeyede Kebede, Gert Van der Auwera, Fikre Seife, Melkamu Abte, Getachew Tollera, Mesay Hailu, J.-C. Dujardin, Johan van Griensven, Dawit Wolday, Wendemagegn Embiale, Myrthe Pareyn, Geremew TasewList of authors in order
- Landing page
-
https://doi.org/10.1371/journal.pntd.0013246Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1371/journal.pntd.0013246Direct OA link when available
- Concepts
-
Leishmania tropica, Cutaneous leishmaniasis, Somali, Outbreak, Leishmaniasis, Epidemiology, Leishmania, Visceral leishmaniasis, Veterinary medicine, Transmission (telecommunications), Medicine, Leishmania major, Leishmania infantum, Geography, Dermatology, Environmental health, Immunology, Virology, Pathology, World Wide Web, Philosophy, Engineering, Computer science, Linguistics, Electrical engineering, Parasite hostingTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1Per-year citation counts (last 5 years)
- References (count)
-
30Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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