Infectious diseases represent one of the most dynamic frontiers in global health, covering everything from seasonal flu outbreaks to emerging viral threats that cross borders. This field focuses on how pathogens spread, how our immune systems respond, and the strategies scientists use to stop infections before they become epidemics. Because the science moves fast, waiting for traditional publication often means missing critical insights that could save lives.

At Gist.Science, we process every new preprint in this category directly from medRxiv to ensure you see the latest findings the moment they appear. Our team transforms these raw studies into both accessible plain-language explanations and detailed technical summaries, bridging the gap between complex research and public understanding. Below are the latest papers in infectious diseases, updated daily with fresh insights from the global research community.

📄 infectious diseases

Predicting the efficacy of Ervebo against Bundibugyo virus disease

By analyzing Ervebo's immunogenicity timeline and combining it with known cross-reactivity data, this study predicts that the vaccine likely provides protection against Bundibugyo virus disease by maintaining antibody levels above putative protective thresholds despite a 2.8-fold reduction in immune recognition compared to Ebola virus.

Elias, K. M., Egilmezer, E., Khan, S. R., Mitchell, A., Reynaldi, A., Berry, M. T., Schlub, T. E., Bailey, B. A., Cromer (…)2026-10-05
📄 infectious diseases

Persistent Borrelia burgdorferi protein antigen in CD16⁺ monocytes is associated with monocyte-skewed immune dysregulation in post-treatment Lyme disease syndrome (PTLDS)

This study demonstrates that persistent *Borrelia burgdorferi* protein antigens within CD14⁺CD16⁺ monocytes, rather than ongoing bacterial infection, drive monocyte-skewed immune dysregulation and inflammatory transcriptional changes in patients with post-treatment Lyme disease syndrome (PTLDS).

Patterson, B. K., Francisco, E. B., Castano, N., Medetgul-Ernar, K., Beaty, C., Beaty, K., Felder, P. A., Yogendra, R.2026-10-01
📄 infectious diseases

Spatiotemporal clustering of tuberculosis notifications in Nepal during the COVID-19 pandemic and subsequent recovery: A national space-time scan analysis, 2019-2024

This nationwide retrospective analysis of Nepal from 2019 to 2024 reveals that tuberculosis notifications increased by 51% during the post-pandemic recovery period, with significant spatiotemporal clustering identified in the central valley and other specific regions, highlighting the need for geographically targeted control strategies.

Bisht, N., Bhatt, R., Rijal, P., Gupta, R. K., Bisht, R., Yadav, H., Singh, S., Kalwar, D. K., Adhikari, C.2026-09-29
📄 infectious diseases

Amplicon-based targeted next generation sequencing (tNGS) for Mycobacterium tuberculosis - unpacking the 'black box'

This study validates an in-house, culture-free amplicon-based targeted next-generation sequencing assay using Oxford Nanopore Technology that successfully identifies *Mycobacterium tuberculosis* lineages and predicts resistance to 16 anti-TB drugs directly from clinical specimens with high concordance to whole-genome sequencing and phenotypic testing.

Zhang, X., Sim, E. M., Lam, C., Bustamante, A., Crighton, T., Marais, B. J., Sintchenko, V.2026-09-29
📄 infectious diseases

Diagnostic information from a negative QuantiFERON-TB Gold Plus result in adults evaluated for tuberculosis in Brazil and South Africa

In a study of adults with presumptive tuberculosis in Brazil and South Africa, a negative QuantiFERON-TB Gold Plus result provided insufficient diagnostic information to rule out active disease, indicating that such results should not halt further clinical evaluation.

da Costa, A. G., Trajman, A., Borges-Cabral, M. C., Esmail, A., Carvalho, B. K. S., Loiola, B. P., Souza, A. B., Spener- (…)2026-09-28
📄 infectious diseases

Reach and uptake of facility- and home-based hepatitis C self-testing in urban slums in Haridwar, India; A Comparative Implementation Study

This comparative implementation study in Haridwar, India, demonstrates that both facility- and home-based hepatitis C self-testing significantly improve testing coverage and uptake in urban slums compared to standard care, with the home-based model showing higher acceptance rates, though the overall low positivity rate suggests untargeted screening alone may be insufficient for identifying infections without additional risk-stratification strategies.

Bhadoria, A. S., Mehndiratta, A., Dunkley, Y., Selv, K., Somvanshi, R., Jamil, M. S., Luhmann, N., Johnson, C., Hatzold (…)2026-09-28
📄 infectious diseases

Falling short: Inadequate target attainment in guideline-based therapy of nontuberculous mycobacterial disease

This study quantitatively demonstrates that inadequate pharmacokinetic-pharmacodynamic target attainment with current standard-of-care antibiotics largely explains the poor clinical cure rates in nontuberculous mycobacterial infections, while identifying promising alternatives like bedaquiline and omadacycline to guide future treatment strategies.

Shoaf, T. J., Dierckman, T., Strawhacker, N., Surani, M. d. L. M., Nair, M., Bawab, E., Escalante, P., Dick, T., Dartois (…)2026-09-27
📄 infectious diseases

Nasopharyngeal aspirates and stool sample collection for molecular tuberculosis testing in children with severe pneumonia - a mixed methods study

This mixed-methods study demonstrates that nasopharyngeal aspirates and stool sample collection are feasible, safe, and acceptable child-friendly alternatives for molecular tuberculosis diagnosis in young children with severe pneumonia across high-burden countries.

Bhatta, B., Bunnet, D., Coleman, M., Massom, D. M., Djaha, J., Banga, M.-F. L., Kaing, S., Voss de Lima, Y., Mbalazi, K. (…)2026-09-27
📄 infectious diseases

Genitourinary Brucellosis in an Endemic Region: Clinical Spectrum, Diagnostic Pitfalls and Treatment Outcomes of a 13-Year Retrospective Cohort

This 13-year retrospective study of 125 brucellosis patients in an endemic region reveals that genitourinary involvement occurs in 14.4% of cases, often mimicking urological emergencies with normal leukocyte counts, and is effectively managed with doxycycline-rifampicin therapy guided by Coombs anti-Brucella serology, thereby preventing unnecessary surgical interventions.

Savas, L., Pekok, A. U., Pekok, B. S., Eser, Z. S.2026-09-24