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伊朗东南部由热带利什曼原虫引起的犬利什曼病:病例系列研究。

Canine leishmaniasis caused by Leishmania Tropica in southeastern Iran: a case series study.

机构信息

Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, Iran.

Department of Pathobiology, Faculty of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran.

出版信息

Sci Rep. 2024 Oct 27;14(1):25599. doi: 10.1038/s41598-024-76301-4.


DOI:10.1038/s41598-024-76301-4
PMID:39465272
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11514237/
Abstract

Dogs are the primary reservoirs of Leishmania infantum (L. infantum), but Leishmania tropica (L. tropica) infection is also possible in dogs and can transmitted to humans. The southeast of Iran experiences a high prevalence of canine leishmaniasis (CanL), and veterinarians frequently encounter symptomatic cases. Therefore, from December 2017 to November 2022, the present case series was designed to assess the prevalence of CanL in owned dogs with cutaneous manifestations resembling CanL. A total of 500 owned dogs with dermal lesions from two endemic cities, Zabol and Kerman, were enrolled. Impression smears from skin lesions and popliteal lymph nodes were prepared from all cases, whereas blood samples were gathered from amastigote-positive dogs for serological and molecular surveys. Commercial ELISA was done on sera samples, and two-step nested PCR was used on extracted DNA to amplify variable fragments of the Leishmania species' kinetoplast DNA (kDNA). Leishman bodies were microscopically detected in 7.2% (36/500) of dermal smears. Of the 360 owned dogs from Zabol, 2 have been diagnosed with L. tropica, and 10 have been diagnosed with L. infantum. Out of 140 owned dogs from Kerman, 8 were identified with L. tropica infection, and 16 were infected with L. infantum. Molecular results revealed the presence of 750 full dual-band bases related to the L. tropica species in 10/36 (27.7%) cases, which showed a considerable increase in canine cutaneous leishmaniosis compared with previous studies in southeastern Iran. The noticeable prevalence of L. tropica in owned dogs indicated that the dog's role in cutaneous leishmaniosis should be re-evaluated as a possible animal reservoir in endemic areas.

摘要

狗是利什曼原虫(L. infantum)的主要宿主,但狗也可能感染热带利什曼原虫(L. tropica),并将其传播给人类。伊朗东南部的犬利什曼病(CanL)流行率很高,兽医经常遇到有症状的病例。因此,本病例系列研究于 2017 年 12 月至 2022 年 11 月期间进行,旨在评估具有类似 CanL 皮肤表现的家养犬中 CanL 的流行率。共纳入来自两个流行地区(扎布尔和克尔曼)的 500 只患有皮肤病变的家养犬。从所有病例中制备皮肤病变和腘淋巴结的压片,从利什曼原虫阳性的犬中采集血液样本进行血清学和分子调查。对血清样本进行商业 ELISA 检测,对提取的 DNA 进行两步嵌套 PCR 扩增利什曼原虫种动基体 DNA(kDNA)的可变片段。在 7.2%(36/500)的皮肤涂片上检测到利什曼虫体。在来自扎布尔的 360 只家养犬中,有 2 只被诊断为 L. tropica,10 只被诊断为 L. infantum。在来自克尔曼的 140 只家养犬中,有 8 只被鉴定为 L. tropica 感染,16 只被鉴定为 L. infantum 感染。分子结果显示,在 10/36(27.7%)病例中存在 750 个与 L. tropica 种相关的全双带碱基,这表明与伊朗东南部以前的研究相比,犬皮肤利什曼病的发病率显著增加。家养犬中 L. tropica 的显著流行表明,狗作为动物宿主在流行地区应重新评估其在皮肤利什曼病中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/9ce23f165764/41598_2024_76301_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/dd86619b4971/41598_2024_76301_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/5b779af8b122/41598_2024_76301_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/a8fe3efc69a9/41598_2024_76301_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/4d856bdae34d/41598_2024_76301_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/24bcc03eeb58/41598_2024_76301_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/9ce23f165764/41598_2024_76301_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/dd86619b4971/41598_2024_76301_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/5b779af8b122/41598_2024_76301_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/a8fe3efc69a9/41598_2024_76301_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/4d856bdae34d/41598_2024_76301_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/24bcc03eeb58/41598_2024_76301_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b620/11514237/9ce23f165764/41598_2024_76301_Fig6_HTML.jpg

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本文引用的文献

[1]
Visceral Leishmaniasis in Iran: An Update on Epidemiological Features from 2013 to 2022.

Iran J Parasitol. 2023

[2]
Is leishmaniasis the new emerging zoonosis in the world?

Vet Res Commun. 2023-12

[3]
Visceral Leishmaniasis Caused by Leishmania Tropica.

Acta Parasitol. 2023-9

[4]
Cutaneous leishmaniasis situation analysis in the Islamic Republic of Iran in preparation for an elimination plan.

Front Public Health. 2023

[5]
Leishmaniasis: Recent epidemiological studies in the Middle East.

Front Microbiol. 2023-2-2

[6]
Cutaneous leishmaniasis in Iran: A review of epidemiological aspects, with emphasis on molecular findings.

Parasite. 2022

[7]
Visceral Leishmaniasis in Ardabil Province, Northwest of Iran: A Retrospective Epidemiological, Clinical and Paraclinical Study (1985-2018).

Iran J Public Health. 2022-8

[8]
Cutaneous Leishmaniasis: A 2022 Updated Narrative Review into Diagnosis and Management Developments.

Am J Clin Dermatol. 2022-11

[9]
Canine Leishmaniasis: Update on Epidemiology, Diagnosis, Treatment, and Prevention.

Vet Sci. 2022-7-27

[10]
Genome centric engineering using ZFNs, TALENs and CRISPR-Cas9 systems for trait improvement and disease control in Animals.

Vet Res Commun. 2023-1

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