Department of General Pathology, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Histol Histopathol. 2010 Jul;25(7):877-87. doi: 10.14670/HH-25.877.
Although 90% of clinical cases of American visceral leishmaniasis (AVL) occur in the northeastern region of Brazil, the incidence of cases in recent years has increased in southeastern states such as Minas Gerais (MG), where the disease has been reported in several cities, including Belo Horizonte, the state capital. Some studies have shown a strong correlation between the incidence of AVL and canine visceral leishmaniasis (CVL) in Belo Horizonte. A study of 108 dogs with parasite Leishmania chagasi detected by immuno-histochemistry in healthy ear skin was obtained from two distinct geographical areas: 55 from a metropolitan area of the municipality (Santa Luzia, MG) and 53 dogs from a central area of Belo Horizonte. In parallel, a group of 10 beagles were experimentally infected with L. chagasi. Considering the clinical aspects of all naturally infected dogs, symptomatic dogs were more frequent than asymptomatic ones, especially animals from the metropolitan area compared with the central area (79.6% and 20.3%, respectively). A chronic exudate was observed in the ear of 51 out of 55 dogs naturally infected from the metropolitan area (92.7%) and 45 out of 53 dogs naturally infected from the central area (84.9%). Importantly, asymptomatic dogs from the central area harbor more parasites in the skin than the asymptomatic ones from the metropolitan area. In addition, a profound difference was noted in the intensity of the inflammatory reaction and parasite load in the skin of experimental infected dogs.
尽管 90%的美国内脏利什曼病(AVL)临床病例发生在巴西东北部地区,但近年来东南部各州(如米纳斯吉拉斯州,MG)的病例发生率有所增加,该疾病已在包括州首府贝洛奥里藏特在内的几个城市报告。一些研究表明,AVL 的发病率与贝洛奥里藏特的犬内脏利什曼病(CVL)之间存在很强的相关性。一项对 108 只通过免疫组织化学在健康耳皮中检测到寄生虫利什曼原虫 chagasi 的犬进行的研究,来自两个不同的地理区域:55 只来自该市的大都市区(圣卢西亚,MG)和 53 只来自贝洛奥里藏特的中心区域。同时,一组 10 只比格犬被实验感染了 L. chagasi。考虑到所有自然感染犬的临床方面,有症状的犬比无症状的犬更为常见,尤其是来自大都市区的动物与来自中心区的动物相比(分别为 79.6%和 20.3%)。在 55 只来自大都市区的自然感染犬(92.7%)和 53 只来自中心区的自然感染犬(84.9%)中有 51 只的耳部观察到慢性渗出物。重要的是,来自中心区的无症状犬在皮肤中携带的寄生虫比来自大都市区的无症状犬更多。此外,在实验感染犬的皮肤中,炎症反应和寄生虫负荷的强度也存在明显差异。