Leishmania (Viannia) naiffi : rare enough to be neglected?

In the Brazilian Amazon, American tegumentary leishmaniasis (ATL) is endemic and presents a wide spectrum of clinical manifestations due, in part, to the circulation of at least seven Leishmaniaspecies. Few reports of Leishmania (Viannia) naiffiinfection suggest that its occurrence is uncommon and t...

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Main Authors: Silva, Giselle Aparecida Fagundes, Romero, Gustavo Adolfo Sierra, Cupolillo, Elisa, Yamashita, Ellen Priscila Gadelha, Silva, Adriano Gomes, Guerra, Jorge Augusto de Oliveira, Cruz, Alda Maria da
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Language: English
Published: Instituto Oswaldo Cruz, Ministério da Saúde 2017
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Online Access: http://repositorio.unb.br/handle/10482/29539
http://dx.doi.org/10.1590/0074-02760150128
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spelling ir-10482-295392018-12-17T15:46:34Z Leishmania (Viannia) naiffi : rare enough to be neglected? Silva, Giselle Aparecida Fagundes Romero, Gustavo Adolfo Sierra Cupolillo, Elisa Yamashita, Ellen Priscila Gadelha Silva, Adriano Gomes Guerra, Jorge Augusto de Oliveira Cruz, Alda Maria da Enzimas Amazônia Leishmaniose In the Brazilian Amazon, American tegumentary leishmaniasis (ATL) is endemic and presents a wide spectrum of clinical manifestations due, in part, to the circulation of at least seven Leishmaniaspecies. Few reports of Leishmania (Viannia) naiffiinfection suggest that its occurrence is uncommon and the reported cases present a benign clinical course and a good response to treatment. This study aimed to strengthen the clinical and epidemiological importance of L. (V.) naiffiin the Amazon Region (Manaus, state of Amazonas) and to report therapeutic failure in patients infected with this species. Thirty Leishmania spp samples isolated from cutaneous lesions were characterised by multilocus enzyme electrophoresis. As expected, the most common species was Leishmania (V.) guyanensis (20 cases). However, a relevant number ofL. (V.) naiffi patients (8 cases) was observed, thus demonstrating that this species is not uncommon in the region. No patient infected withL. (V.) naiffievolved to spontaneous cure until the start of treatment, which indicated that this species may not have a self-limiting nature. In addition, two of the patients experienced a poor response to antimonial or pentamidine therapy. Thus, either ATL cases due to L. (V.) naifficannot be as uncommon as previously thought or this species is currently expanding in this region. 2017-12-07T05:11:37Z 2017-12-07T05:11:37Z 2015-09 Artigo FAGUNDES-SILVA, Giselle Aparecida et al. Leishmania (Viannia) naiffi: rare enough to be neglected? Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v. 110, n. 6, p. 797-800, set. 2015. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762015000600797&lng=en&nrm=iso>. Acesso em: 9 maio 2018. doi: http://dx.doi.org/10.1590/0074-02760150128. http://repositorio.unb.br/handle/10482/29539 http://dx.doi.org/10.1590/0074-02760150128 en Acesso Aberto Memórias do Instituto Oswaldo Cruz - This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0). Fonte: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762015000600797&lng=en&nrm=iso. Acesso em: 9 maio 2018. application/pdf Instituto Oswaldo Cruz, Ministério da Saúde
institution REPOSITORIO UNB
collection REPOSITORIO UNB
language English
topic Enzimas
Amazônia
Leishmaniose
spellingShingle Enzimas
Amazônia
Leishmaniose
Silva, Giselle Aparecida Fagundes
Romero, Gustavo Adolfo Sierra
Cupolillo, Elisa
Yamashita, Ellen Priscila Gadelha
Silva, Adriano Gomes
Guerra, Jorge Augusto de Oliveira
Cruz, Alda Maria da
Leishmania (Viannia) naiffi : rare enough to be neglected?
description In the Brazilian Amazon, American tegumentary leishmaniasis (ATL) is endemic and presents a wide spectrum of clinical manifestations due, in part, to the circulation of at least seven Leishmaniaspecies. Few reports of Leishmania (Viannia) naiffiinfection suggest that its occurrence is uncommon and the reported cases present a benign clinical course and a good response to treatment. This study aimed to strengthen the clinical and epidemiological importance of L. (V.) naiffiin the Amazon Region (Manaus, state of Amazonas) and to report therapeutic failure in patients infected with this species. Thirty Leishmania spp samples isolated from cutaneous lesions were characterised by multilocus enzyme electrophoresis. As expected, the most common species was Leishmania (V.) guyanensis (20 cases). However, a relevant number ofL. (V.) naiffi patients (8 cases) was observed, thus demonstrating that this species is not uncommon in the region. No patient infected withL. (V.) naiffievolved to spontaneous cure until the start of treatment, which indicated that this species may not have a self-limiting nature. In addition, two of the patients experienced a poor response to antimonial or pentamidine therapy. Thus, either ATL cases due to L. (V.) naifficannot be as uncommon as previously thought or this species is currently expanding in this region.
format Artigo
author Silva, Giselle Aparecida Fagundes
Romero, Gustavo Adolfo Sierra
Cupolillo, Elisa
Yamashita, Ellen Priscila Gadelha
Silva, Adriano Gomes
Guerra, Jorge Augusto de Oliveira
Cruz, Alda Maria da
author_sort Silva, Giselle Aparecida Fagundes
title Leishmania (Viannia) naiffi : rare enough to be neglected?
title_short Leishmania (Viannia) naiffi : rare enough to be neglected?
title_full Leishmania (Viannia) naiffi : rare enough to be neglected?
title_fullStr Leishmania (Viannia) naiffi : rare enough to be neglected?
title_full_unstemmed Leishmania (Viannia) naiffi : rare enough to be neglected?
title_sort leishmania (viannia) naiffi : rare enough to be neglected?
publisher Instituto Oswaldo Cruz, Ministério da Saúde
publishDate 2017
url http://repositorio.unb.br/handle/10482/29539
http://dx.doi.org/10.1590/0074-02760150128
_version_ 1641988138907729920
score 13.657419