Travi Bruno L, Tabares Carlos Javier, Cadena Horacio
Centro Internacional de Entrenamiento e Investigaciones Médicas, Cali, Colombia.
Biomedica. 2006 Oct;26 Suppl 1:249-53. doi: 10.7705/biomedica.v26i1.1520.
Although canine cutaneous leishmaniasis has been reported in several foci of South America, no published information from Colombia is available.
We report on two cases found in the Pacific coast region of this country, which presented as a single scrotal ulcer in one dog, and two ulcers on the external surface of the ear in a second dog.
Parasites were isolated by culture in Senekjie's culture medium and identified using monoclonal antibodies. The capacity of these dogs to transmit the parasites to sand fly vectors (Lutzomyia trapidoi, Lutzomyia gomezi, Lutzomyia longipalpis, Lutzomyia youngi) was tested by allowing the flies to feed on the lesion borders.
Both isolates were identified as Leishmania (Viannia) braziliensis. No infections were detected upon dissection of engorged flies. A single peri-and sub-lesional injection of 1-2 ml of pentavalent antimony in the dog with ear lesions resulted in clinical cure 6 weeks post-treatment.
These observations suggest that although dogs are susceptible to L. braziliensis, their reservoir competence could be low. However, if further studies indicate that canines are capable reservoir hosts of L. Viannia spp., the local treatment of lesions could become a feasible approach to diminish the risk of human infection in the peridomestic setting, without sacrificing infected dogs.
尽管南美洲的几个疫源地都报告过犬皮肤利什曼病,但尚无来自哥伦比亚的已发表信息。
我们报告在该国太平洋沿岸地区发现的两例病例,一例表现为一只狗阴囊出现单个溃疡,另一例表现为另一只狗耳朵外表面出现两个溃疡。
通过在塞内科耶培养基中培养分离寄生虫,并使用单克隆抗体进行鉴定。让沙蝇叮咬病变边缘,测试这些狗将寄生虫传播给沙蝇媒介(特拉皮多伊白蛉、戈麦斯白蛉、长须白蛉、扬氏白蛉)的能力。
两个分离株均被鉴定为巴西利什曼原虫(维安亚利什曼原虫)。解剖饱血沙蝇后未检测到感染。对耳部有病变的狗在病变周围和病变下方单次注射1 - 2毫升五价锑,治疗6周后临床治愈。
这些观察结果表明,尽管狗对巴西利什曼原虫易感,但其作为储存宿主的能力可能较低。然而,如果进一步研究表明犬类是维安亚利什曼原虫属的有效储存宿主,那么在不处死感染狗的情况下,局部治疗病变可能成为降低家庭周边环境中人类感染风险的可行方法。