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在一个新出现的内脏利什曼病疫区(阿根廷门多萨省的波萨达斯)进行的犬利什曼病试点调查。

A canine leishmaniasis pilot survey in an emerging focus of visceral leishmaniasis: Posadas (Misiones, Argentina).

机构信息

WHO Collaborating Centre for Leishmaniasis, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Madrid, Spain.

出版信息

BMC Infect Dis. 2010 Dec 1;10:342. doi: 10.1186/1471-2334-10-342.


DOI:10.1186/1471-2334-10-342
PMID:21122107
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3002360/
Abstract

BACKGROUND: An increasing number of reports are calling our attention to the worldwide spread of leishmaniasis. The urbanization of zoonotic visceral leishmaniasis (VL) has been observed in different South American countries, due to changes in demographic and ecological factors. In May 2006, VL was detected for the first time in the city of Posadas (Misiones, Argentina). This event encouraged us to conduct a clinical and parasitological pilot survey on domestic dogs from Posadas to identify their potential role as reservoirs for the disease. METHODS: One hundred and ten dogs from the city of Posadas were included in the study. They were selected based on convenience and availability. All dogs underwent clinical examination. Symptomatology related to canine leishmaniasis was recorded, and peripheral blood and lymph node aspirates were collected. Anti-Leishmania antibodies were detected using rK39-immunocromatographic tests and IFAT. Parasite detection was based on peripheral blood and lymph node aspirate PCR targeting the SSUrRNA gene. Molecular typing was addressed by DNA sequence analysis of the PCR products obtained by SSUrRNA and ITS-1 PCR. RESULTS: According to clinical examination, 69.1% (76/110) of the dogs presented symptoms compatible with canine leishmaniasis. Serological analyses were positive for 43.6% (48/110) of the dogs and parasite DNA was detected in 47.3% (52/110). A total of 63 dogs (57.3%) were positive by serology and/or PCR. Molecular typing identified Leishmania infantum (syn. Leishmania chagasi) as the causative agent. CONCLUSIONS: This work confirms recent findings which revealed the presence of Lutzomyia longipalpis, the vector of L. infantum in this area of South America. This new VL focus could be well established, and further work is needed to ascertain its magnitude and to prevent further human VL cases.

摘要

背景:越来越多的报告引起了我们对利什曼病在全球传播的关注。由于人口和生态因素的变化,南美洲的一些国家已经观察到动物源性内脏利什曼病(VL)的城市化现象。2006 年 5 月,首次在阿根廷的波萨达斯市(米西奥内斯省)发现了 VL。这一事件促使我们对波萨达斯的家养犬进行了临床和寄生虫学试点调查,以确定它们作为该疾病储存宿主的潜在作用。

方法:本研究纳入了来自波萨达斯市的 110 只狗。它们是根据便利性和可得性选择的。所有的狗都接受了临床检查。记录与犬利什曼病相关的症状,并采集外周血和淋巴结抽吸物。使用 rK39-免疫层析试验和 IFAT 检测抗利什曼原虫抗体。通过针对 SSUrRNA 基因的外周血和淋巴结抽吸物 PCR 检测寄生虫。通过 SSUrRNA 和 ITS-1 PCR 获得的 PCR 产物的 DNA 序列分析解决分子分型问题。

结果:根据临床检查,69.1%(76/110)的狗出现了与犬利什曼病相符的症状。43.6%(48/110)的狗血清学分析呈阳性,47.3%(52/110)的狗检测到寄生虫 DNA。共有 63 只狗(57.3%)血清学和/或 PCR 检测呈阳性。分子分型鉴定出利什曼原虫(syn. 恰加斯利什曼原虫)为病原体。

结论:这项工作证实了最近的发现,即表明 Lutzomyia longipalpis,即该地区美洲利什曼原虫的传播媒介的存在。这个新的 VL 焦点可能已经很好地建立起来,需要进一步的工作来确定其规模,并防止进一步的人类 VL 病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2f9/3002360/0417f95d3345/1471-2334-10-342-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2f9/3002360/0417f95d3345/1471-2334-10-342-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2f9/3002360/0417f95d3345/1471-2334-10-342-1.jpg

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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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本文引用的文献

[1]
Visceral leishmaniasis in border areas: clustered distribution of phlebotomine sand flies in Clorinda, Argentina.

Mem Inst Oswaldo Cruz. 2009-8

[2]
Canine leishmaniosis in South America.

Parasit Vectors. 2009-3-26

[3]
Characterization and speculations on the urbanization of visceral leishmaniasis in Brazil.

Cad Saude Publica. 2008-12

[4]
Canine visceral leishmaniasis in urban and rural areas of Northeast Brazil.

Res Vet Sci. 2009-4

[5]
Methods for diagnosis of canine leishmaniasis and immune response to infection.

Vet Parasitol. 2008-12-20

[6]
Canine leishmaniosis--new concepts and insights on an expanding zoonosis: part two.

Trends Parasitol. 2008-8

[7]
Canine visceral leishmaniasis: performance of a rapid diagnostic test (Kalazar Detect) in dogs with and without signs of the disease.

Acta Trop. 2008-8

[8]
Canine leishmaniosis - new concepts and insights on an expanding zoonosis: part one.

Trends Parasitol. 2008-7

[9]
First visceral leishmaniasis focus in Argentina.

Mem Inst Oswaldo Cruz. 2008-2

[10]
Autochthonous canine visceral leishmaniasis in a non-endemic area: Bom Sucesso, Minas Gerais State, Brazil.

Cad Saude Publica. 2008-2

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