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犬类感染以及犬在阿根廷萨尔塔美洲皮肤利什曼病传播中可能扮演的角色。

Canine infection and the possible role of dogs in the transmission of American tegumentary leishmaniosis in Salta, Argentina.

作者信息

Padilla A M, Marco J D, Diosque P, Segura M A, Mora M C, Fernández M M, Malchiodi E L, Basombrío M A

机构信息

Laboratorio de Patología Experimental, Facultad de Ciencias de la Salud, Universidad Nacional de Salta, Calle: Buenos Aires 177, 4400 Salta, Argentina.

出版信息

Vet Parasitol. 2002 Dec 11;110(1-2):1-10. doi: 10.1016/s0304-4017(02)00330-8.

Abstract

Some Leishmania species affect humans in two principal forms: visceral and cutaneous leishmaniosis (CL). Several studies have identified dogs as the main reservoirs of the visceral leishmaniosis (VL) caused by Leishmania infantum. The purpose of this work was to carry out a survey of the canine population associated with human cases of American tegumentary leishmaniosis (ATL), in order to establish the clinical, parasitological, serological and immunological characteristics of the canine disease, in an endemic region for both ATL and Chagas' disease in the province of Salta, in northwestern Argentina. Two hundred and eight dogs from the endemic area were examined and 41 (19.7%) of them presented lesions compatible with leishmaniosis. In order to investigate the presence of antibodies against Leishmania spp. and Trypanosoma cruzi, sera were screened by ELISA using two complex antigens from these parasites and, because of cross-reactions between them, a specific antigen for diagnosis of T. cruzi infection. Sixty-two (29.8%) of 208 dogs were positive for the complex antigen F45 from Leishmania and 50 (24%) were positive for the complex antigen F105 from T. cruzi. Nine dogs (4.3%) were positive for the specific Ag163B6-cruzipain suggesting that these dogs were truly infected with T. cruzi. Furthermore, three of these nine dogs presented Leishmania sp. in their skin lesions and therefore were considered as infected by both, T. cruzi and Leishmania parasites. The prevalence of Leishmania infection detected by lesions and/or positive serology was 27.4% (57/208). On the basis of previous observations regarding the clustered appearance of human ATL, the dog population was divided into two groups: zone A, dogs living within a 100 m radius from houses with human cases, and zone B, dogs living beyond this limit. The prevalence of ATL in dogs was significantly higher in zone A (34.6%) than in zone B (7.3%), suggesting a strong correlation between canine and human cases. The average time required for a parasitological diagnosis by microscopy was six times longer for dog samples than human ones, and the average number of parasites per 100 microscopic fields was 14-fold lower in canine samples. The high prevalence of Leishmania infection and the close association with human cases, demonstrated that dogs are a very susceptible host for Leishmania infection, but the scarcity of parasites in their lesions suggests that they may not be the main reservoir of the parasite in this endemic area.

摘要

一些利什曼原虫物种以两种主要形式感染人类

内脏利什曼病和皮肤利什曼病(CL)。多项研究已确定狗是婴儿利什曼原虫引起的内脏利什曼病(VL)的主要宿主。这项工作的目的是对与人类美洲皮肤利什曼病(ATL)病例相关的犬类群体进行调查,以确定阿根廷西北部萨尔塔省ATL和恰加斯病的流行地区犬类疾病的临床、寄生虫学、血清学和免疫学特征。对来自流行地区的208只狗进行了检查,其中41只(19.7%)出现了与利什曼病相符的病变。为了调查抗利什曼原虫属和克氏锥虫抗体的存在情况,使用来自这些寄生虫的两种复合抗原通过ELISA对血清进行筛查;由于它们之间存在交叉反应,还使用了一种用于诊断克氏锥虫感染的特异性抗原。208只狗中有62只(29.8%)对来自利什曼原虫的复合抗原F45呈阳性,50只(24%)对来自克氏锥虫的复合抗原F105呈阳性。9只狗(4.3%)对特异性Ag163B6 - 克氏木瓜蛋白酶呈阳性,表明这些狗确实感染了克氏锥虫。此外,这9只狗中有3只在其皮肤病变中发现了利什曼原虫属,因此被认为同时感染了克氏锥虫和利什曼原虫寄生虫。通过病变和/或血清学阳性检测到的利什曼原虫感染率为27.4%(57/208)。根据先前关于人类ATL聚集出现的观察结果,将犬类群体分为两组:A区,居住在距有人类病例的房屋半径100米范围内的狗;B区,居住在该范围之外的狗。A区狗的ATL患病率(34.6%)显著高于B区(7.3%),表明犬类病例与人类病例之间存在很强的相关性。通过显微镜进行寄生虫学诊断,狗样本所需的平均时间比人类样本长6倍,并且犬类样本中每100个显微镜视野中的寄生虫平均数量低14倍。利什曼原虫感染的高患病率以及与人类病例的密切关联表明,狗是利什曼原虫感染的非常易感宿主,但它们病变中寄生虫的稀缺表明它们可能不是该流行地区寄生虫的主要宿主。

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