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在洪都拉斯南部非溃疡性皮肤利什曼病流行地区,家犬能否被视为利什曼原虫(L.)婴儿查加斯的良好储存宿主?

Can domestic dogs be considered a good reservoir of Leishmania (L.) infantum chagasi in an endemic area of nonulcerated cutaneous leishmaniasis in Southern Honduras?

机构信息

Universidad Nacional Autónoma de Honduras , Instituto de Investigaciones en Microbiologia , Tegucigalpa , Honduras.

Universidad Nacional Autónoma de Honduras , Posgrado en Salud Pública , Tegucigalpa , Honduras.

出版信息

Rev Inst Med Trop Sao Paulo. 2023 Mar 24;65:e24. doi: 10.1590/S1678-9946202365024. eCollection 2023.

DOI:10.1590/S1678-9946202365024
PMID:36995877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10041965/
Abstract

Dogs are considered to be the main domestic reservoir associated with the transmission of Leishmania (L.) infantum chagasi to humans in endemic areas of visceral leishmaniasis in America. However, little is known about the role of canines as a source of infection in endemic areas of nonulcerated cutaneous leishmaniasis (NUCL). Therefore, the objective of the present study was to investigate the role of dogs as a possible reservoir of the parasite in Southern Honduras. Dogs (n = 107) living with individuals affected by NUCL were clinically examined and biological material was collected for parasitological and immunological diagnosis. Most animals showed a healthy appearance and a few presented slight weight loss (64%), alopecia (7%), onychogryphosis (5%) and skin lesions (1%). The overall seroprevalence of Leishmania infection based on the DDP ® quick test and/or in-house ELISA serological test was 41%. The presence of the parasite's DNA was confirmed in 94% of the dogs; however, the average parasite load in the buffy coat was low at 6.09 parasites/µL, ranging between 0.221 and 50.2. The skin of seropositive dogs examined by histopathology using paraffin sections stained by hematoxylin and immunohistochemistry did not show cutaneous lesions or parasite amastigotes. Based on the absence of parasites in the skin and the low parasite load detected in the buffy coat, it seems that the dog does not represent a good source of infection for the vector in the endemic area of NUCL transmission in Southern Honduras. Other domestic and/or wild animals should be investigated.

摘要

狗被认为是与美洲内脏利什曼病流行地区人类感染利什曼原虫(L.)婴儿 Chagasi 相关的主要家养宿主。然而,对于犬作为非溃疡性皮肤利什曼病(NUCL)流行地区感染源的作用知之甚少。因此,本研究的目的是调查狗在洪都拉斯南部作为寄生虫可能宿主的作用。对与 NUCL 患者一起生活的 107 只狗进行临床检查,并采集生物材料进行寄生虫学和免疫学诊断。大多数动物外观健康,少数动物表现出轻微体重减轻(64%)、脱毛(7%)、甲变形(5%)和皮肤损伤(1%)。基于 DDP®快速检测和/或内部 ELISA 血清学检测的利什曼感染总血清阳性率为 41%。在 94%的犬中证实了寄生虫 DNA 的存在;然而,在 buffy coat 中的寄生虫平均载量较低,为 6.09 个寄生虫/µL,范围在 0.221 到 50.2 之间。通过用苏木精和免疫组织化学染色的石蜡切片对血清阳性犬进行组织病理学检查,皮肤未显示皮肤损伤或寄生虫无鞭毛体。基于皮肤中未检测到寄生虫和 buffy coat 中检测到的低寄生虫载量,似乎狗在洪都拉斯南部 NUCL 传播流行地区不是媒介的良好感染源。应调查其他家养和/或野生动物。