Akhavan Aa, Yaghoobi-Ershadi Mr, Mirhendi H, Alimohammadian Mh, Rassi Y, Shareghi N, Jafari R, Arandian Mh, Abdoli H, Ghanei M, Jalali-Zand N, Khamesipour A
Dept. of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Iran.
Iran J Public Health. 2010;39(1):1-7. Epub 2010 Mar 31.
Zoonotic cutaneous leishmaniasis (ZCL) is an expanding disease and public health problem in Iran. In the current study, natural Leishmania infection rate and seasonal fluctuation of the infection in Rhombomys opimus population of a hyperendemic focus of ZCL in Iran was investigated.
The study was conducted from October 2006 to October 2008 in Esfahan Province, central part of Iran. An extensive sampling of rodents using Sherman traps was done in different seasons. Nested PCR assay was used for detection and identification of Leishmania species and the results were confirmed using PCR-RFLP.
Leishmania infection rate was 58.6% (34 of 58) using nested PCR. 44.8% of the gerbils were infected only with L. turanica and 1.7% with L. gerbilli alone. A mixed natural infection with L. major and L. turanica was seen in 12.1% of the rodents. L. major infection alone was not seen in R. opimus population in the study area. The highest and lowest Leishmania infection rates were observed in fall and spring respectively. L. turanica infection was observed throughout the year whereas mixed infections with L. major and L. turanica was not seen in spring.
It is concluded that in the study area, L. major, L. gerbilli and L. turanica circulate in the population of R. opimus. Leishmania major infection usually accompanied by L. turanica in naturally infected gerbils with the highest rate in fall. It is recommended that the role of L. turanica in the epidemiology and transmission of ZCL be revisited.
人兽共患皮肤利什曼病(ZCL)在伊朗是一种不断蔓延的疾病及公共卫生问题。在本研究中,调查了伊朗一个ZCL高度流行区大沙鼠种群中利什曼原虫的自然感染率及感染的季节性波动情况。
研究于2006年10月至2008年10月在伊朗中部的伊斯法罕省进行。在不同季节使用谢尔曼陷阱对啮齿动物进行广泛采样。采用巢式PCR检测法鉴定利什曼原虫种类,并通过PCR-RFLP对结果进行确认。
采用巢式PCR检测,利什曼原虫感染率为58.6%(58只中有34只)。44.8%的沙鼠仅感染图兰利什曼原虫,1.7%仅感染沙鼠利什曼原虫。12.1%的啮齿动物存在硕大利什曼原虫和图兰利什曼原虫的混合自然感染。在研究区域的大沙鼠种群中未发现单独感染硕大利什曼原虫的情况。利什曼原虫感染率最高和最低分别出现在秋季和春季。图兰利什曼原虫全年均可检出,而春季未发现硕大利什曼原虫和图兰利什曼原虫的混合感染。
得出结论,在研究区域,硕大利什曼原虫、沙鼠利什曼原虫和图兰利什曼原虫在大沙鼠种群中传播。在自然感染的沙鼠中,硕大利什曼原虫感染通常伴有图兰利什曼原虫感染,秋季感染率最高。建议重新审视图兰利什曼原虫在ZCL流行病学和传播中的作用。