Service de Parasitologie - Mycologie, Faculté de Médecine et Pharmacie, Université Cheikh Anta Diop, BP: 5005 Dakar Fann, Dakar, Senegal.
Microbes Infect. 2010 Dec;12(14-15):1219-25. doi: 10.1016/j.micinf.2010.09.003. Epub 2010 Sep 22.
In the context of global warming and the risk of spreading arthropod-borne diseases, the emergence and reemergence of leishmaniasis should not be neglected. In Senegal, over the past few years, cases of canine leishmaniasis have been observed. We aim to improve the understanding of the transmission cycle of this zoonosis, to determine the responsible species and to evaluate the risk for human health. An epidemiological and serological study on canine and human populations in the community of Mont Rolland (Thiès area) was conducted. The data showed a high seroprevalence of canine leishmaniasis (>40%) and more than 30% seropositive people. The dogs' seroprevalence was confirmed by PCR data (concordance > 0.85, Kappa > 0.7). The statistical analysis showed strong statistical associations between the health status of dogs and seropositivity, the number of positive PCRs, clinical signs and the number of Leishmania isolates. For the first time, the discriminative PCRs performed on canine Leishmania strains clearly evidenced that the pathogenic agent is Leishmania infantum. The results obtained show that transmission of this species is well established in this area. That the high incidence of seropositivity in humans may be a consequence of infection with this species is discussed.
在全球变暖以及虫媒传染病传播风险的背景下,利什曼病的出现和再现不应被忽视。在塞内加尔,近年来观察到了犬利什曼病病例。我们旨在提高对这种人畜共患病传播周期的认识,确定致病物种,并评估对人类健康的风险。在蒙罗朗社区(达喀尔地区)对犬科动物和人类进行了一项流行病学和血清学研究。数据显示,犬利什曼病的血清阳性率很高(>40%),超过 30%的人血清呈阳性。犬的血清阳性率通过 PCR 数据得到了证实(一致性>0.85,kappa>0.7)。统计分析表明,狗的健康状况与血清阳性率、阳性 PCR 数量、临床症状和利什曼原虫分离株数量之间存在很强的统计学关联。首次对犬利什曼原虫株进行的鉴别性 PCR 清楚地表明,病原体是婴儿利什曼原虫。研究结果表明,该物种在该地区的传播已经很好地建立起来。人类中高发病率的血清阳性可能是感染该物种的结果。