Department of Laboratory Medicine & Pathology, University of Alberta, Edmonton, AB T6G 2R3, Canada.
Alberta Precision Laboratories-Public Health, Edmonton, AB T6G 2J2, Canada.
Parasitology. 2024 Feb;151(2):151-156. doi: 10.1017/S0031182023001221. Epub 2023 Nov 30.
American tegumentary leishmaniasis comprises a discrete set of clinical presentations endemic to Latin America. RNA virus-1 (LRV-1) is a double-stranded RNA virus identified in 20–25% of the and , however not in . This is the first report of LRV-1 in and its associations with clinical phenotypes of ATL. Unique surplus discard clinical isolates of were identified from the Public Health Ontario Laboratory (PHOL) and the Clinic of the Instituto de Medicina Tropical ‘Alexander von Humboldt’ between 2012 and 2019 and screened for LRV-1 by real-time polymerase chain reaction. Patient isolates were stratified according to clinical phenotype. Of 30 patients with , 14 (47%) and 16 (53%) patients had severe and non-severe ATL, respectively. Five (36%) of 14 severe cases and 2 (12%) of 16 non-severe cases were positive for LRV-1, respectively. No differences in sex were observed for clinical phenotype and LRV-1 status. Although an association between LRV-1 status and clinical phenotype was not demonstrated, this is the first description of the novel detection of LRV-1 in , a species that has been documented predominantly in Central America.
美洲皮肤利什曼病包括一组拉丁美洲特有的明确临床表现。RNA 病毒-1(LRV-1)是一种双链 RNA 病毒,在 20-25%的 和 中被发现,但在 中未被发现。这是 LRV-1 在 和其与 ATL 临床表型的关联的首次报告。从安大略省公共卫生实验室(PHOL)和亚历山大·冯·洪堡热带医学研究所的诊所收集了 2012 年至 2019 年间独特的剩余丢弃的临床分离株,并通过实时聚合酶链反应筛查 LRV-1。根据临床表型对患者分离株进行分层。在 30 例 患者中,14 例(47%)和 16 例(53%)分别患有严重和非严重 ATL。14 例严重病例中有 5 例(36%)和 16 例非严重病例中有 2 例(12%)为 LRV-1 阳性。临床表型和 LRV-1 状态在性别上无差异。尽管未证明 LRV-1 状态与临床表型之间存在关联,但这是首次描述 LRV-1 在 中的新发现,该物种主要在中美洲有记录。