Mestre Gustavo Leandro da Cruz, Fontes Cor Jésus Fernandes
Pós-graduação em Ciências da Saúde, Faculdade de Ciências Médicas, Universidade Federal de Mato Grosso, Cuiabá, MT.
Rev Soc Bras Med Trop. 2007 Jan-Feb;40(1):42-8. doi: 10.1590/s0037-86822007000100008.
An epidemic of visceral leishmaniasis began in 1998, in the Metropolitan Region of Cuiabá, the capital of the State of Mato Grosso, Brazil. Today, it has reached 34 (24.1%) of the 141 municipalities in the state. Between January 1998 and December 2005, 138 autochthonous cases were notified, mainly in males (58%), children aged 0-9 years (51.5%) and inhabitants of urban areas (66.7%). Canine visceral leishmaniasis has been detected in 41 municipalities, with positive serum in 9% of the 40,000 dogs examined. Lutzomyia longipalpis and/or Lutzomyia cruzi were captured in 14 out of the 18 municipalities that simultaneously recorded both human and canine visceral leishmaniasis. These findings indicate that visceral leishmaniasis transmission has become disseminated throughout the state, following migratory flows and the process of disorderly occupation of urban areas. The presence of Lutzomyia cruzi alone in areas with high incidence of human and canine cases suggests possible participation by this species in the transmission chain for visceral leishmaniasis in Mato Grosso.
1998年，巴西马托格罗索州首府库亚巴市都会区爆发了内脏利什曼病疫情。如今，该州141个市中有34个（24.1%）受到影响。1998年1月至2005年12月期间，共报告了138例本地病例，主要为男性（58%）、0至9岁儿童（51.5%）和城市居民（66.7%）。在41个市检测到犬内脏利什曼病，在检查的40000只狗中，9%血清呈阳性。在同时记录到人类和犬类内脏利什曼病的18个市中，有14个市捕获了长须罗蛉和/或克鲁兹罗蛉。这些发现表明，随着人口流动和城市地区无序扩张进程，内脏利什曼病传播已扩散至全州。在人类和犬类病例高发地区单独发现克鲁兹罗蛉表明，该物种可能参与了马托格罗索州内脏利什曼病的传播链。
