Edrissian G H, Hafizi A, Afshar A, Soleiman-Zadeh G, Movahed-Danesh A M, Garoussi A
School of Public Health, Teheran University of Medical Sciences, Iran.
Bull Soc Pathol Exot Filiales. 1988;81(2):238-48.
The incidence of visceral leishmaniasis has being increased in Iran during the recent decade. Since 1980, more than 200 cases have been diagnosed from East Azerbaijan province, mostly, from Meshkin-Shahr area. It seems, that kala-azar has being endemic in this area for a long time. The majority (86%) of kala-azar cases were found among children up to 4 years. The sex incidence ratio of males/females was 1.27/1. In IFA serological survey, sero-positive rate in females was higher than males. However, geometric mean of leishmanial antibody titers in males was, slightly, more than females. These serological findings indicate that females are exposed to the infection at least as much as males. The cross-sectional IFA serological survey, relatively reflected the kala-azar status among different studied groups with various incidences of the disease in Meshkin-Shahr area. IFAT showed also a good efficiency in the assessment of the treatment in the treated kala-azar patients.
在过去十年间,伊朗内脏利什曼病的发病率呈上升趋势。自1980年以来,东阿塞拜疆省已确诊200多例病例,其中大部分来自梅什金沙尔地区。看来,黑热病在该地区长期呈地方流行状态。大多数(86%)黑热病病例出现在4岁以下儿童中。男女发病率之比为1.27/1。在间接荧光抗体(IFA)血清学调查中,女性的血清阳性率高于男性。然而,男性利什曼原虫抗体滴度的几何平均值略高于女性。这些血清学结果表明,女性至少与男性一样容易感染。横断面IFA血清学调查相对反映了梅什金沙尔地区不同研究组中黑热病的发病情况,各研究组该病发病率不同。间接荧光抗体试验(IFAT)在评估接受治疗的黑热病患者的治疗效果方面也显示出良好的效能。