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巴西东北部农村社区犬的皮肤和内脏利什曼病。

Cutaneous and visceral leishmaniasis in dogs from a rural community in northeastern Brazil.

机构信息

Dipartimento di Sanità Pubblica e Zootecnia, Università degli Studi di Bari, 70010 Valenzano, Bari, Italy.

出版信息

Vet Parasitol. 2010 Jun 24;170(3-4):313-7. doi: 10.1016/j.vetpar.2010.02.019. Epub 2010 Feb 20.

Abstract

A community-based epidemiological study was carried out in a rural area in northeastern Brazil, where visceral leishmaniasis is endemic, but the primary vector Lutzomyia longipalpis has never been found. Forty-one dogs were screened by an indirect immunofluorescence antibody test (IFAT) for the presence of anti-Leishmania antibodies and 12 (29.3%) of them were positive. One of the IFAT-positive dogs was also positive for Leishmania amastigotes in bone marrow cytology and for Leishmania infantum by real-time polymerase chain reaction (PCR) on blood. One IFAT-negative dog was positive for L. infantum by PCR on bone marrow and other for Leishmania amastigotes in skin stained-smears. When tested for L. braziliensis by PCR, 20 dogs were positive. Considering all diagnostic tests, the estimated prevalence of Leishmania spp. infection in the studied rural dog population was 58.5%. There was no significant difference in IFAT-positivity in relation to age, gender, and clinical status of the dogs. When tested for L. infantum by real-time PCR, 20 ticks collected from IFAT-positive dogs were all negative. This study shows a high level of exposure to Leishmania spp. infection in dogs from a rural community in northeastern Brazil. In general, the results do not support the participation of ticks as vectors of L. infantum in this area, which is likely to be transmitted by Lutzomyia spp. other than L. longipalpis. Finally, this study highlights that the use of IFAT in areas where both L. infantum and L. braziliensis are present should be withdraw in order to avoid the unnecessary culling of dogs that are actually infected only by L. braziliensis.

摘要

本研究在巴西东北部的一个农村地区开展了一项基于社区的流行病学研究,该地区流行内脏利什曼病,但从未发现其主要传播媒介长角血蜱。采用间接免疫荧光抗体试验(IFAT)对 41 只狗进行了筛查,以检测是否存在抗利什曼原虫抗体,其中 12 只(29.3%)呈阳性。IFAT 阳性的狗中有 1 只在骨髓细胞学中也检测到利什曼无鞭毛体,1 只通过血液实时聚合酶链反应(PCR)检测到婴儿利什曼原虫。1 只 IFAT 阴性的狗在骨髓中 PCR 检测到婴儿利什曼原虫阳性,另 1 只在皮肤染色涂片上检测到利什曼无鞭毛体阳性。对 20 只狗进行了 L. braziliensis PCR 检测,结果均为阳性。考虑到所有诊断试验,研究中农村犬群利什曼原虫感染的估计患病率为 58.5%。IFAT 阳性与狗的年龄、性别和临床状况无显著差异。对 IFAT 阳性犬采集的 20 只蜱进行实时 PCR 检测,结果均为阴性。本研究表明,巴西东北部一个农村社区的犬类存在高水平的利什曼原虫感染暴露。一般来说,结果不支持蜱作为该地区婴儿利什曼原虫传播媒介的作用,该地区可能由长角血蜱以外的其他长角血蜱属传播。最后,本研究强调,在同时存在婴儿利什曼原虫和巴西利什曼原虫的地区,应停止使用 IFAT,以避免不必要地扑杀实际上仅感染巴西利什曼原虫的狗。

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